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Maine rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.68 / $2.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.68 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.33 / $5.37