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Massachusetts rates for HCPCS A4379

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

Facilitymedian $14 · 10th–90th $9$1000%20%40%10th90th$14Professionalmedian $15 · 10th–90th $9$200%20%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $19.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $20.42 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.22 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $14.45
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
$18.20 / $18.20 / $27.54
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $20.42 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.22 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.91 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $18.20