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Massachusetts rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Facilitymedian $4 · 10th–90th $2$790%20%40%10th90th$4Professionalmedian $4 · 10th–90th $2$60%20%10th90th$4$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.89 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $4.68 / $6.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.63 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $4.47
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $7.94
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.89 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $4.68 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.51 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.72 / $5.25