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Massachusetts rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $13.36 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $3.15 / $4.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $3.34 / $3.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $5.25
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
$3.81 / $3.81 / $4.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.33 / $4.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.36 / $4.58