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Massachusetts rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.58 / $2.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $10.33 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.43 / $3.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $7.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.58 / $2.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.29 / $2.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $4.13
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
$2.95 / $2.95 / $3.10
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $27.52 / $27.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.81 / $3.54
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.81 / $3.54