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Massachusetts rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.05 / $29.05 / $29.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $29.05 / $50.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.72 / $189.37 / $315.77
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $44.72 / $64.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.38 / $45.38 / $134.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.97 / $47.26 / $47.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.29 / $39.94 / $52.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $77.25
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
$54.21 / $54.21 / $56.92
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.76 / $31.76 / $31.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.94 / $315.77 / $315.77
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.33 / $33.17 / $64.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.89 / $33.17 / $66.48