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Maine rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.46 / $1.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $1.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.46 / $1.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.27 / $2.91