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Maine rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $4.42 / $4.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $3.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.62 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.28 / $6.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.42 / $5.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.84 / $8.83