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Massachusetts rates for HCPCS A4383

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

Facilitymedian $27 · 10th–90th $17–$1910%20%40%10th90th$27Professionalmedian $29 · 10th–90th $17–$390%20%10th90th$29$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $37.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $38.90 / $190.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.20 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $27.54
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
$34.67 / $34.67 / $52.48
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $38.90 / $190.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.20 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $15.85 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $34.67