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Maine rates for HCPCS A4428

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.22 / $5.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $7.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $4.65 / $6.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $7.42 / $7.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.22 / $6.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $4.54 / $10.44