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Massachusetts rates for HCPCS A4423

Ostomy Pouch Closed; For Use On Barrier With Locking Flange With Filter (2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $7.38 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.75 / $2.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.85 / $1.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $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
$2.12 / $2.12 / $2.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.30 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.30 / $2.52