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Massachusetts rates for HCPCS A4378

Ostomy Pouch Drainable For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.77 / $18.77 / $18.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $18.77 / $32.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.88 / $122.37 / $204.06
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $28.88 / $41.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.33 / $29.33 / $87.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $30.53 / $30.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.46 / $25.81 / $33.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $49.88
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
$35.02 / $35.02 / $36.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.46 / $23.46 / $23.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.21 / $204.06 / $204.06
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $21.43 / $41.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $30.75 / $39.02