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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.62 / $4.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $3.99 / $4.16
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 / $5.70
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $8.05 / $2,392.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.62 / $4.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.88 / $11.17