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Maine rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$3.25 / $6.82 / $6.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $5.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $9.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $8.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $9.69 / $9.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $6.82 / $9.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.93 / $13.64