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Maine rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.77 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $13.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $17.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.91 / $15.14