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Massachusetts rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $10.88 / $10.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $10.88 / $18.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $52.83 / $121.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.73 / $16.75 / $24.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $47.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.72 / $17.70 / $17.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $15.42 / $17.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $15.42 / $29.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $20.30 / $21.32
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.44 / $121.84 / $121.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $12.42 / $24.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $12.42 / $24.32