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Massachusetts rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $4.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $18.41 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.34 / $6.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.40 / $13.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.59 / $4.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $3.88 / $5.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $7.50
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
$5.28 / $5.28 / $5.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.23 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.23 / $6.31