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Maine rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $7.91 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $6.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $10.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $9.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $11.24 / $11.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.91 / $10.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $7.21 / $19.09