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Massachusetts rates for HCPCS A5062

Ostomy Pouch Drainable; Without Barrier Attached (1 Piece) Each(Updated 01-01-2003) 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.36 / $1.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.36 / $2.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $6.59 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $2.09 / $3.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $6.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.21 / $2.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $2.08 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $3.75
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
$2.54 / $2.54 / $2.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.55 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.02 / $3.05