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Massachusetts rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.21 / $17.21 / $17.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $29.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.49 / $112.19 / $187.06
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $26.49 / $38.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.89 / $26.89 / $79.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.63 / $28.01 / $28.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.51 / $26.07 / $31.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $45.75
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
$32.11 / $32.11 / $33.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $21.51 / $21.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.94 / $187.06 / $187.06
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $19.64 / $38.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $19.64 / $38.46