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Massachusetts rates for HCPCS A5056

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $2.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $2.85 / $4.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $14.32 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.38 / $6.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $14.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $4.65 / $4.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $7.50
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
$5.33 / $5.33 / $5.60
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.10 / $43.10 / $150.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.26 / $6.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.26 / $6.38