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Maine rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.57 / $1.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.64 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.57 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.36 / $3.78