| 1. | - | Gabriella Candelieri Molly Clark Jane Freda Katelyn Elinoff | 49.86a | Hingham | |
| 2. | - | Maddie Dodgeville Tiffany Luongo Julia Murphy Morgan Silveira | 50.28a | Bishop Feehan | |
| 3. | - | Kerstin Darsney Kelsey Ferris Taelour Murphy Lauren Robert | 50.94a | Triton Regional | |
| 4. | - | Relay Team | 51.10a | Melrose | |
| 4. | - | Kaitlin Gilbert Laura Whelan Bionca St Fleur Annalisa DeBari | 51.10a | Melrose | |
| 5. | - | Kristina Gustafson Megan McCordic Melissa Newell Kate Persiak | 51.54a | Medfield Senior | |
| 6. | - | Kayla Ralston Alison Rolfe Jakora Staten Malika Staten | 51.56a | Dennis-Yarmouth | |
| 7. | - | Radiya Buchanan Rachel Campagna Mellyn Costello Victoria Tondre | 51.71a | Canton | |
| 8. | - | Lexy Bean Amanda Caldarone Xanthi Pantazelos Lauren Sundquist | 51.77a | Danvers | |
| 9. | - | Meghan Beidleman Jenny Curley Taylor Dourney Allison Monaghan | 52.47a | Hopkinton | |
| 10. | - | Olivia Beaulieu Sammi Brennan Mia Lander Madi O'Leary | 52.71a | Milton | |
| 11. | - | Patty Malone Michelle Salvati Jess Treacy Rachel Wong | 52.82a | Wakefield | |
| 11. | - | Relay Team | 52.82a | Wakefield | |
| 12. | - | Relay Team | 52.87a | Wilmington | |
| 12. | - | Cat Parrella Heather Kealos Maye Randell Catrina Fryer | 52.87a | Wilmington | |
| 13. | - | Caroline Clancy Briana Crowley Nicole Kerrigan Morgan McKunes | 53.11a | Holliston | |
| 14. | - | Lauren Frank Haley Monahan Sarah Pacheco Morgan Steele | 53.28a | Somerset | |
| 14. | - | Relay Team | 53.28a | Somerset | |
| 15. | - | Amanda Louro Megan Otto Rachel Simpson Emily Sousa | 53.64a | Dighton-Rehoboth | |
| 16. | - | Relay Team | 53.72a | Pentucket Regional | |
| 16. | - | Chase Marcotte Victo Castiglione Colleen Kilian Marisa Lundy | 53.72a | Pentucket Regional | |
| 17. | - | Addie Boyd Alexa Geraniotis Sara Roderick Katie Sullivan | 53.85a | Nauset Regional | |
| 18. | - | Olivia Corapi Bridget Gaughan Morgan Havican Mariana Lacolla | 53.86a | Stoneham | |
| 19. | - | Sarah Bierman Carly Foreman Maggie Hojlo Krayonna Thames | 54.00a | Wayland | |
| 20. | - | Elizabeth Burkhart Gam Dhliwayo Devon Doherty Taylor Smith | 54.03a | Burlington | |
| -- | - | Relay Team | DNF | Swampscott | |
| -- | - | Nancy Do Sammy Maher Colleen Meagher Tiara Smith-Matthews | DNF | Swampscott | |
| 1. | - | Katie Freitas Mikayla Ng Vanessa Pham Mary Scanlan | 4:07.52a | Pembroke | |
| 2. | - | Vanessa Bramante Grace Macura Morgan Havican Abby Kendall | 4:10.06a | Stoneham | |
| 3. | - | Emily Gallagher Julia Nee Laura Nee Liz Runci | 4:11.23a | Duxbury | |
| 4. | - | Relay Team | 4:12.02a | Swampscott | |
| 5. | - | Liana Bunce Megan McCordic Mekenzie Smith Taylor Worthy | 4:13.72a | Medfield Senior | |
| 6. | - | Katie Cataldo Danielle Ebzery Andrea Luongo Julia Wood | 4:14.54a | Bishop Feehan | |
| 7. | - | Cassidy Cabral Hailey Hastings Kelsie Lazaro Marissa Pariseau | 4:15.54a | Somerset | |
| 7. | - | Relay Team | 4:15.54a | Somerset | |
| 8. | - | Kelsey Bamford Azariah Boyd Stephanie Desir Makisha Germain | 4:17.65a | Randolph | |
| 9. | - | Abbie Barrett Alyssa Lumbert Elizabeth Sypek Caitlin Sullivan | 4:18.04a | Hingham | |
| 10. | - | Liz Beauregard Lexi Kitsakos Alyssa Nogueria Abby Torrisi | 4:19.55a | Pentucket Regional | |
| 11. | - | Relay Team | 4:20.14a | Apponequet Regional | |
| 11. | - | Emma Leombruno Kelly McCarthy Ally Warr Megan Yearmelovicz | 4:20.14a | Apponequet Regional | |
| 12. | - | Relay Team | 4:21.90a | Wilmington | |
| 13. | - | Rachel Everett Kaylee Kozubal Jill Rosati Morgan McKunes | 4:23.24a | Holliston | |
| 14. | - | Lauren Berman Kate D'Orazio Michaela Kelly Kim McNaly | 4:24.12a | Canton | |
| 15. | - | Olivia Downey Taylor McDonald Haley Scofield Antonia Lavina | 4:24.40a | Melrose | |
| 16. | - | Molly Mcconaughey Katie Murray Hannah Hoffman Katie Sheehan | 4:25.39a | Scituate | |
| 17. | - | Samantha Berthiaume Lia Delaney Veronica Delaney Brooke Renaud | 4:26.02a | Dighton-Rehoboth | |
| 18. | - | Relay Team | 4:28.90a | Burlington | |
| 18. | - | Kaila Camilleri Rebecca Ellis Nicole Hardy Kierstin Merlino | 4:28.90a | Burlington | |
| 19. | - | Whitney Carpenter Bridget Dunbar Emma Harney Mary Stafford | 4:30.71a | Dennis-Yarmouth | |
| 20. | - | Laura Frackiewicz Colleen Barrett Rachael Hall Kelsey Wood | 4:37.02a | Triton Regional | |
| 20. | - | Relay Team | 4:37.02a | Triton Regional | |
| 1. | - | Sam Kitchen Meredith Kress Kaitlin Plecinoga Andrea Simi | 9:49.05a | Westwood | |
| 2. | - | Brynna Harum Marybeth Nametz Katie Powell Abby McNulty | 9:49.66a | Bishop Feehan | |
| 3. | - | Chelsea Savage Sarah James Teresa James Vanessa Pham | 9:59.44a | Pembroke | |
| 4. | - | Relay Team | 10:00.62a | Burlington | |
| 4. | - | Jennifer Hamvas Kristin Humphreys Jackie Jensen Caroline Peterson | 10:00.62a | Burlington | |
| 5. | - | Abbie Barrett Rachel Lee Caroline Leonard Elizabeth Sypek | 10:06.65a | Hingham | |
| 6. | - | Emma Greenwalt Mairead Kiernan Julia O'Brien Angelica Pizzi | 10:06.98a | Milton | |
| 7. | - | Cassidy Baird Kate Letai Lauren Rimmel Sally Todd | 10:35.48a | Medfield Senior | |
| 8. | - | Alison Carr Emily Cerra Michaela Jancsy Hannah King | 10:39.67a | Swampscott | |
| 9. | - | Addison Desrosiers Lauren Iola Rebecca Morse Autum St. Hilaire | 10:39.86a | Pentucket Regional | |
| 9. | - | Relay Team | 10:39.86a | Pentucket Regional | |
| 10. | - | Alban Foulser Hannah Singleman Sarah MacDonald Laura Gillis | 10:55.59a | Melrose | |
| 11. | - | Relay Team | 11:00.43a | Dighton-Rehoboth | |
| 11. | - | Olivia Ackernet Danielle Cote Hannah Whitford Morgan Zabinski | 11:00.43a | Dighton-Rehoboth | |