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Massachusetts rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.19 / $2.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $5.58 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.84 / $2.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $5.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.64 / $1.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.64 / $3.00
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
$2.22 / $2.22 / $2.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.36 / $2.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.36 / $2.67