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Massachusetts rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $5.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $21.94 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $5.18 / $7.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.47 / $5.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.62 / $9.00
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
$6.28 / $6.28 / $6.59
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.50 / $130.50 / $130.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.63 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.84 / $7.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.84 / $7.52