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Massachusetts rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.79 / $22.79 / $22.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $22.79 / $39.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.07 / $148.59 / $247.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $35.07 / $50.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.60 / $35.60 / $105.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $37.07 / $37.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.48 / $34.45 / $41.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $42.60
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
$42.54 / $42.54 / $44.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $28.95 / $28.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.88 / $247.76 / $247.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $26.02 / $50.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $26.02 / $50.94