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Massachusetts rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.29 / $3.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $14.96 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.53 / $5.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.74 / $3.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $6.00
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
$4.28 / $4.28 / $4.49
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.66 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.62 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.62 / $5.25