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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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.51 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $6.61 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.17 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.25 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $11.75
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.51 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $6.76 / $9.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.98 / $5.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.01 / $7.59