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Massachusetts rates for HCPCS A4409

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Convexity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.80 / $6.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $24.71 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $5.84 / $8.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $6.18 / $6.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $6.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $10.13
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
$7.08 / $7.08 / $7.43
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $4.96 / $4.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.33 / $8.47
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $5.55 / $5.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $4.38 / $8.47