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Massachusetts rates for HCPCS A4380

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

Facilitymedian $35 · 10th–90th $22$2510%20%40%10th90th$35Professionalmedian $39 · 10th–90th $22$510%20%10th90th$39$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $48.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $51.29 / $251.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $40.74 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $35.48
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
$45.71 / $45.71 / $69.18
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $51.29 / $251.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $40.74 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $20.89 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $32.36 / $45.71