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Maryland rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.64 / $2.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.59 / $3.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.30 / $2.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.81