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Massachusetts rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, 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 / $3.98 / $6.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.92 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $5.37 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.57 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.90
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
$6.17 / $6.17 / $9.55
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.92 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $5.50 / $7.94
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.24 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.07 / $6.17