go back

Massachusetts rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.90 / $4.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $18.93 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $4.47 / $6.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.73 / $4.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $7.88
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
$5.42 / $5.42 / $5.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $3.32 / $6.49
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.32 / $6.49