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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 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.35 / $5.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $5.35 / $8.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $25.96 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $8.23 / $11.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $8.69 / $8.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $9.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $14.25
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
$9.98 / $9.98 / $10.48
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.60 / $136.60 / $136.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.85 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.11 / $11.95
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $8.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $5.58 / $5.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.11 / $12.24