go back

Maine rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $4.08 / $4.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.28 / $4.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $5.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $5.81 / $5.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.08 / $4.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.55 / $8.18