go back

Massachusetts rates for HCPCS A4419

Ostomy Pouch Closed; For Use On Barrier With Non-Locking Flange With Filter (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.06 / $1.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $6.86 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.63 / $2.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.71 / $1.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $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
$1.97 / $1.97 / $2.06
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.40 / $83.40 / $83.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.21 / $2.35
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.21 / $2.35