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Massachusetts rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $4.57 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $3.16 / $4.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.16 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.75 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $5.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $4.57 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $3.31 / $5.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.04 / $2.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.51 / $3.89