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Massachusetts rates for HCPCS A4410

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.52 / $9.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $35.97 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $8.50 / $12.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $8.98 / $8.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $9.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $14.63
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
$10.30 / $10.30 / $10.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.20 / $7.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.64 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.30 / $12.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $6.30 / $12.33