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Massachusetts rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $6.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.76 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $5.25 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $4.47
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
$6.03 / $6.03 / $9.12
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.76 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $5.37 / $7.76
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.95 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.98 / $6.03