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Maine rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.66 / $1.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.36 / $2.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.66 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.44 / $3.31