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Maryland rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $4.21 / $5.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $6.65 / $9.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.32 / $5.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $4.66