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Ostomy Irrigation Set

Massachusetts rates for HCPCS A4400

Ostomy irrigation set

Rates data updated July 2026.

How much does Ostomy Irrigation Set cost?

$58.88

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $43.65 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$33.11 to $60.26
FacilityA hospital or hospital-owned outpatient department$43.65$29.51 to $102

How much rates vary

Facilitymedian $44 · 10th to 90th $30 to $331Professionalmedian $59 · 10th to 90th $30 to $91
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $44professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$93.33
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$331.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$53.70
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$39.81
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$47.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$89.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$331.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$53.70
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$53.70
Typical High
$60.26

Where Massachusetts sits

The same service costs 3.2 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $58.88 · 7th of 51
HI $91.20CO $28.84

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.