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Massachusetts rates for HCPCS 15115

Epidermal Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.91 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.63 / $681.67 / $1,007.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $3,315.28 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.13 / $1,225.14 / $5,082.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.44 / $1,063.97 / $1,877.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.87 / $1,211.14 / $2,566.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.66 / $1,492.34 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.99 / $1,115.75 / $1,540.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.12 / $1,755.21 / $2,499.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $4,569.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.34 / $1,475.15 / $5,877.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $3,592.00 / $8,498.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.04 / $1,138.36 / $2,063.94