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Maryland rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $5.09 / $7.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.45 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $8.05 / $11.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.01 / $6.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.64