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Massachusetts rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$5.20 / $5.20 / $5.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $5.20 / $9.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $33.90 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $8.00 / $11.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $8.46 / $8.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $9.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $13.88
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
$9.69 / $9.69 / $10.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $6.82 / $6.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.16 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $5.93 / $11.62
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.61 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.93 / $11.62