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Maine rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.74 / $2.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.54 / $3.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.74 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.38 / $5.47