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Massachusetts rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.08 / $3.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $13.59 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.20 / $4.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.39 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.86 / $5.63
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
$3.90 / $3.90 / $4.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.38 / $4.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.38 / $4.66