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Massachusetts rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $4 · 10th–90th $3–$760%20%40%10th90th$4Professionalmedian $6 · 10th–90th $3–$80%20%10th90th$6$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $75.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $6.31 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $6.03
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.72
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $75.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $6.31 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.39 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $5.25 / $7.08