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Massachusetts rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $2.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $6.12 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.94 / $2.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $5.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.06 / $2.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $3.38
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
$2.36 / $2.36 / $2.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.44 / $2.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.44 / $2.81