go back

Massachusetts rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.94 / $1,845.24 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.25 / $340.43 / $684.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.40 / $1,052.09 / $3,445.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$127.70 / $127.70 / $127.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.32 / $578.21 / $1,884.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.72 / $389.64 / $687.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.02 / $514.55 / $1,085.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.24 / $546.52 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.43 / $542.91 / $749.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.89 / $671.25 / $1,068.49
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.99 / $838.52 / $982.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.41 / $291.41 / $774.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $16,394.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$127.70 / $127.70 / $127.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.58 / $720.49 / $2,824.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.66 / $570.10 / $1,008.99