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Maine rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.83 / $2.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.97 / $3.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.83 / $3.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.46 / $5.66