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Maine rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $6.61 / $6.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $5.78 / $5.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $8.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $9.39 / $9.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $6.61 / $8.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.75 / $13.22