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Massachusetts rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $8.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $32.85 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $7.75 / $11.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.19 / $8.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $13.50
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
$9.39 / $9.39 / $9.86
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.41 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $5.75 / $11.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.81 / $11.26