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Massachusetts rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $6.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $24.71 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $5.84 / $8.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $6.18 / $6.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $6.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $10.13
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
$7.08 / $7.08 / $7.43
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.33 / $8.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $4.33 / $8.67