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Maine rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.82 / $4.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $4.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $5.04 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.28 / $5.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $6.85 / $6.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.82 / $6.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.38 / $9.63