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Massachusetts rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $6.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $24.94 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $5.89 / $8.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $5.99 / $17.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $6.23 / $6.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.26 / $6.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.26 / $10.13
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
$7.14 / $7.14 / $7.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $4.37 / $8.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.37 / $8.55