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Maine rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.79 / $1.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.65 / $2.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.79 / $2.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.20 / $3.44