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Massachusetts rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.88 / $6.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $15.17 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $9.77 / $49.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $19.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $6.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $20.00 / $20.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.16 / $8.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $5.72 / $49.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $5.72 / $11.25