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Massachusetts rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $7.20 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.71 / $2.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.80 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $3.00
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
$2.06 / $2.06 / $2.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.27 / $2.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.27 / $2.47