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Massachusetts rates for HCPCS A4427

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $11.11 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $2.62 / $3.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.76 / $2.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.34 / $4.50
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
$3.17 / $3.17 / $3.33
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.20 / $47.20 / $47.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.36 / $2.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.94 / $3.81
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.94 / $3.81