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Maine rates for HCPCS A4435

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

Facilitymedian $5 · 10th–90th $2–$50%50%10th$5Professionalmedian $5 · 10th–90th $3–$70%10%20%10th90th$5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $5.75
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $2,398.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.51
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $6.92 / $7.08