| 1. | - | Vanessa Clerveaux Talia Halliday Milan Neville Nikayla Simpson | 48.75a | Brockton | |
| 2. | - | Gelyne Berger Alison Kaba Michel-le Meranda Nicole Genard | 49.57a | Somerville | |
| 3. | - | Kayla Wong Stephanie Brown Carla Forbes Kayla Prior | 49.63a | Newton North | |
| 4. | - | Rui Tanimura Olivia Saunders Randi Fries Kristi Leslie | 49.92a | Acton-Boxborough Reg | |
| 5. | - | Jessica Barros Olyvia Leahy Kenzie Offley Melissa Isidor | 50.62a | New Bedford | |
| 6. | - | Natalie Wagner Micaela Soucy Sydney Gillis Alex Puccia | 50.82a | Andover | |
| 7. | - | Wilhelmina Moen Kennedy Barnwell Maggie Hughes Denise Yoon | 51.46a | Boston Latin | |
| 8. | - | Maria Baras Danielle Frazier Eve Frimpong Emily Williams | 51.49a | Waltham | |
| 9. | - | Allison Kane Elizabeth Clifton Elizabeth Gulino Briana Robitaille | 51.68a | Attleboro | |
| 10. | - | Danae Rosario Rachael Silk Sydney Vaughn Leyshla Gonzalez | 51.76a | Lowell | |
| 11. | - | Erica Aye Emmanuella Aka Anna Stearns Uchechi Nna | 52.03a | Framingham | |
| 12. | - | Laquasia Anderson Tanesha Ward Albertine Samson Esther Nkwah | 52.18a | Brighton | |
| 13. | - | Emma Poole Maddie Pronovost Caroline Mancusi Lena Capece | 52.34a | Brookline | |
| 14. | - | Ashley Craig Andrea Bert Kristen Burk Kristina Reny | 52.54a | Westford Academy | |
| 15. | - | Daunyelle Morales Emmy Wheaton Tori Suber Tulie Finley-Moise | 52.61a | Lexington | |
| 16. | - | Meagan Deane Kristin Leone Kerri Long Colleen Perry | 52.86a | Weymouth | |
| 17. | - | Sabrina Rizzo Mary Votto Katrina Petrosino Laura Pelletrino | 52.87a | Peabody | |
| 18. | - | Adriana McDevitt Alex McInnis Tiffany LO Victoria Walsh | 52.89a | Braintree | |
| 19. | - | Yonnie Collins Rakel Tativian Emma Yates Grace Stanton | 53.12a | Haverhill | |
| 20. | - | Regine Exume Regine Borgella Kristina Thorne Amalika Lucien | 53.32a | Malden | |
| 21. | - | Andrea Dupont Shena-Kaye Butler Sarah Medeiros Sarah Skillin | 53.43a | Durfee | |
| 22. | - | Madison Barron Meaghan Kenney Maegan Nedell Molly Page | 53.49a | Bridgewater-Raynham Regional | |
| 23. | - | Mercedes Garcia Nnemdi Azubuko Sophia Dee Peri Segel | 54.00a | Lincoln-Sudbury Regional | |
| 24. | - | Tamara Rodriguez Sonya Cabrera Ambar DeJesus Breanda Marquez | 54.44a | Lawrence | |
| 25. | - | Rachel Melisse Morgan Payzant Sammy Ryan Jayci Andrews | 54.60a | Plymouth South | |
| 26. | - | Yuriko Fukumura Caroline Delheim Kathleen Garrity Katherine Cullen | 55.31a | Newton South | |
| 27. | - | Ashley Bodenrader Bridget Goerke Jenna O'Malley Caitlyn Wallace | 56.14a | Methuen | |
| 28. | - | Alexandra Price Hanna Magerman Allexia Martin Kendal Knous | 58.20a | Franklin | |
| -- | - | Amanda Cardonne Kaleigh Hoffman Aekta Shah Debbie Okpoebo | DQ | Chelmsford | |
| 1. | - | Robin Gross Lucy Lang Olivia Manickas-Hi Camila Isern | 4:02.64a | Lexington | |
| 2. | - | Ariel Tian Alison Grover Ellen Conway Maya Jarostchuk | 4:06.34a | Acton-Boxborough Reg | |
| 3. | - | Meghan Bellerose Allison Hurwitz Isabella Reilly Miller McCarthy-Tuohy | 4:07.30a | Newton North | |
| 4. | - | Rose Bunszell Sarah Frye Sarah Barnett Katie Phieffer | 4:08.81a | Bridgewater-Raynham Regional | |
| 5. | - | Jen Kimball May Perriello Kristin Kelly Colleen Perry | 4:08.89a | Weymouth | |
| 6. | - | Elaina Rebello Erin Conley Madison Price Laura Dowd | 4:10.81a | Franklin | |
| 7. | - | MaryLou Ryder Nikkoletta Stergiou Jennifer Pisarik Meghan McNamara | 4:12.10a | Chelmsford | |
| 8. | - | Allison Messina Alyssa Richard Rachel Melisse Lauren Richard | 4:14.16a | Plymouth South | |
| 9. | - | Alia Buckner Rhyana Freeman Jessica Lu Darcy Spence | 4:14.79a | Brookline | |
| 10. | - | Caitlin Barbas Katelyn Sanderson Katie Mulkerin Jamie Dodd | 4:15.25a | Billerica Memorial | |
| 11. | - | Alex Puccia Jillian Gamache Molly Lennon Catherine Haut | 4:15.69a | Andover | |
| 12. | - | Kyra Visnick Alekhya Chaparala Hannah Friedman Elizabeth Fineman | 4:16.62a | Newton South | |
| 13. | - | Kaleigh Fitzgerald Erin Connolly Haylee Krenzer Samantha Wise | 4:16.90a | Haverhill | |
| 14. | - | Ileana Medina Sarah Raymond Danielle Crawford Juliana Mendonca | 4:17.21a | Lowell | |
| 15. | - | Mackenzie Brewer Alexa Popp Kate McCluskey Aubrey Longo | 4:20.34a | Westford Academy | |
| 16. | - | Katie Maehl Maria Thekaekara Jenny Sexton Julia Kern | 4:21.69a | Waltham | |
| 17. | - | Jacqueline Bouley Iris Feng Haley Defillipis Lauren Benoit | 4:22.61a | Malden | |
| 18. | - | Kirstin Alfonso Eladia Cespedes Marwah Haq Emily Wehring | 4:24.44a | Methuen | |
| 19. | - | Christine LaBelle Flora Griffin Tessa Seales Jessica Taylor | 4:24.88a | Framingham | |
| 20. | - | Caisie Wynot Caitlin Haggen Kara MacLean Taylor Waggett | 4:25.76a | Braintree | |
| 21. | - | Catarina Rocha Joanne Frangias Heather MacLean Sara May | 4:26.92a | Peabody | |
| -- | - | Arianna Freeman Chidera Onyeoziri Maral Merian Patricia Montiero | DQ | Brockton | |
| -- | - | Elise Hinkle Sarah Mepham Brianna Bisson Dori Lustig | DQ | Lincoln-Sudbury Regional | |
| 1. | - | Dori Lustig Katie LaScaleia Meri Kohler Marika Crowe | 9:29.58a | Lincoln-Sudbury Regional | |
| 2. | - | Evie Heffernan Elizabeth Koch Maeve Greeley Sonya Jampel | 9:34.60a | Newton North | |
| 3. | - | Catarina Rocha Sara May Joanne Frangias Heather MacLean | 9:36.39a | Peabody | |
| 4. | - | Allison Brady Morgan Fitzgibbon Bridget Jaklitsch Julie Tevenan | 9:38.51a | Weymouth | |
| 5. | - | Sierra Zambarano Ariel Tian Rachel Davidson Elizabeth Brew | 9:41.51a | Acton-Boxborough Reg | |
| 6. | - | Lauren Hagen Alexandria Giese Caroline Knous Emily Stickles | 9:42.75a | Franklin | |
| 7. | - | Samantha Wise Jackie Solimine Bridget Twomey Kaleigh Fitzgerald | 9:43.52a | Haverhill | |
| 8. | - | Stephanie Lukez Cassie Peterson Kristen Fiore Meredith Bernstein | 9:53.45a | Lexington | |
| 9. | - | Catherine Donovan Sarah Warne Meghan McPhee Sarah Rothman | 9:59.12a | Andover | |
| 10. | - | Lucrecia Aguilar Anna Rhatigan Hannah Friedman Alekhya Chaparala | 10:04.78a | Newton South | |
| 11. | - | Katish Bellegarde Lindsey Hamblet Jordan Hanson Hannah Wunderlich | 10:23.54a | Methuen | |
| 12. | - | Megan Mahoney Kylie Reardon Allison Carbone Katelyn Sanderson | 10:29.41a | Billerica Memorial | |
| 13. | - | Kathryn Cooney Danielle Ahern Kelsey Sheehan Julia Villanova | 10:44.32a | Chelmsford | |
| -- | - | Emma Payne Karina Buruca Lucy Sternbach Maya Halprin-Adams | DQ | Cambridge Rindge & Latin | |