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Maine rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.95 / $3.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $5.61 / $5.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.95 / $5.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.43 / $7.89