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Massachusetts rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.67 / $4.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $17.36 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $4.11 / $5.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.16 / $12.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $4.34 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.66 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $7.13
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
$4.97 / $4.97 / $5.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.36 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.04 / $5.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.78 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.04 / $5.95