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Ostomy Absorbent Material to Thicken Stomal Output

Massachusetts rates for HCPCS A4422

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$790%20%10th90th$0Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$0.07
Typical High
$0.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.07
Median
$0.09
Typical High
$0.22
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.06
Median
$0.13
Typical High
$0.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.08
Median
$0.08
Typical High
$0.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.13
Typical High
$0.20
Health New England
Setting
Professional
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$0.06
Median
$0.13
Typical High
$0.18
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.07
Typical High
$0.15
United
Setting
Professional
Modifier
Global
Typical Low
$0.06
Median
$0.13
Typical High
$0.13