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Maine rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $3.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $3.02 / $3.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.62 / $6.02