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Massachusetts rates for HCPCS A4372

Ostomy Skin Barrier Solid 4x4 Or Equivalent Standard Wear With Built-Inconvexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $4.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $12.85 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.94 / $5.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $11.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $4.16 / $4.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.77 / $4.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $4.76
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
$4.78 / $4.78 / $5.01
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.92 / $5.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.96 / $5.87