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Massachusetts rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $7.49 / $7.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $7.49 / $12.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.11 / $36.36 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $11.53 / $16.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.69 / $10.69 / $31.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $12.17 / $12.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $19.88
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
$13.97 / $13.97 / $14.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.55 / $8.55 / $8.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $8.55 / $16.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $8.55 / $16.73