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Massachusetts rates for HCPCS A5063

Ostomy Pouch Drainable; For Use On Barrier With Flange (2 Piece System) Each Ly. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.65 / $2.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $7.67 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.54 / $3.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.36 / $7.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.68 / $2.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.29 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $4.50
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
$3.09 / $3.09 / $3.24
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $133.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.88 / $3.69
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.88 / $3.69