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Massachusetts rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.27 / $14.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.39 / $40.21 / $91.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.99 / $19.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $12.21 / $36.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $13.47 / $13.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $11.60 / $14.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.60 / $22.50
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
$15.47 / $15.47 / $16.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.20 / $91.72 / $91.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $9.46 / $18.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.64 / $18.53