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Maryland rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.77 / $7.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $4.65 / $6.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $9.11 / $13.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $4.54 / $7.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $6.38