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Massachusetts rates for HCPCS A4415

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

Facilitymedian $4 · 10th–90th $3–$790%20%40%10th90th$4Professionalmedian $6 · 10th–90th $3–$80%20%10th90th$6$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $8.13 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $6.61 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.01 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.89
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $10.96
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $8.13 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $6.61 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.80 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.13 / $7.41