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Maine rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $5 · 10th–90th $2–$60%20%40%10th90th$5Professionalmedian $5 · 10th–90th $3–$70%10%10th90th$5$2.0$5.0$10.0$20.0

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
$3.02 / $3.98 / $15.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $8.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.95 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.61 / $6.76