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Massachusetts rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $12.59 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $9.12 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $8.13
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
$10.72 / $10.72 / $16.22
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $12.59 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $9.33 / $13.80
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $8.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $5.62 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.08 / $10.72