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Massachusetts rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $5.87 / $5.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $5.87 / $10.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $38.24 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $9.03 / $13.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.18 / $9.18 / $27.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $8.07 / $10.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $15.38
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
$10.96 / $10.96 / $11.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $6.43 / $6.43
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.24 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $6.70 / $13.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $6.12 / $6.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $6.70 / $13.11