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Massachusetts rates for HCPCS A4400

Ostomy irrigation set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.83 / $29.83 / $29.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $29.83 / $48.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.89 / $138.61 / $324.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $45.92 / $66.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.03 / $44.03 / $130.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $48.52 / $48.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.22 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $79.13
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
$55.69 / $55.69 / $58.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.61 / $324.33 / $324.33
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $34.07 / $66.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $44.62 / $60.69