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Maryland rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.44 / $3.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.85 / $5.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.92 / $3.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.70