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Massachusetts rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.03 / $1.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $4.98 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.58 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $4.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.67 / $1.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.41 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $2.63
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
$1.91 / $1.91 / $2.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.17 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.17 / $2.15