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Massachusetts rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $3.00 / $5.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $19.57 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $4.62 / $6.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.88 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $7.88
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
$5.61 / $5.61 / $5.89
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.80 / $81.80 / $81.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.95 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.43 / $6.71
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.43 / $6.87