go back

Massachusetts rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Facilitymedian $4 · 10th–90th $2$790%20%40%10th90th$4Professionalmedian $4 · 10th–90th $2$60%20%10th90th$4$1.0$10.0$100.0$1.0K$10.0K

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.31 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $5.01 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.89 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.79
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
$5.62 / $5.62 / $8.51
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.31 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $5.01 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.75 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $4.07 / $5.62