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Maine rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $7 · 10th–90th $3–$100%20%40%10th90th$7Professionalmedian $7 · 10th–90th $5–$110%10%20%10th90th$7$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $8.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $12.88
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $7.08 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.68 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $10.47 / $10.72