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Massachusetts rates for HCPCS A4392

Ostomy Pouch Urinary With Standard Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $4.99 / $4.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.99 / $8.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $32.52 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $7.68 / $11.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $6.34 / $18.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $8.11 / $8.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $6.86 / $9.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.86 / $13.13
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
$9.31 / $9.31 / $9.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $5.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.69 / $11.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $5.69 / $11.15