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Massachusetts rates for HCPCS A4382

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.89 / $33.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.88 / $162.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $26.30 / $35.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $24.55 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $20.89 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $25.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $45.71
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.88 / $162.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $26.30 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $13.18 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.50 / $30.20