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Massachusetts rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.48 / $2.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $7.44 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.27 / $3.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $6.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.40 / $2.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $2.04 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.80 / $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
$2.76 / $2.76 / $2.90
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.88 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.69 / $3.31
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.69 / $3.31