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Massachusetts rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $4 · 10th–90th $2–$790%20%40%10th90th$4Professionalmedian $4 · 10th–90th $2–$60%20%10th90th$4$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.57 / $6.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $4.07
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $7.76
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.57 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.45 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.63 / $5.13