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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
$3.02 / $3.98 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $5.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $7.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.75 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.72 / $6.17