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Massachusetts rates for HCPCS A4396

Ostomy Belt With Peristomal Hernia Support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.71 / $24.71 / $24.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $24.71 / $42.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.04 / $161.11 / $268.66
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.09 / $38.04 / $55.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.61 / $38.61 / $114.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $40.20 / $40.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.89 / $33.97 / $44.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $33.97 / $65.63
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
$46.13 / $46.13 / $48.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $27.03 / $27.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $268.66 / $268.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $28.22 / $55.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $28.53 / $55.23