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Massachusetts rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $9.17 / $9.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $9.17 / $15.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $59.77 / $99.66
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $14.11 / $20.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.33 / $14.33 / $42.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $14.91 / $14.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.46 / $13.91 / $16.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $17.20
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
$17.11 / $17.11 / $17.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $99.66 / $99.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $10.47 / $20.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $10.47 / $20.49