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Massachusetts rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.14 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.90 / $78.14 / $108.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.16 / $941.10 / $4,142.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.73 / $144.55 / $640.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.98 / $133.87 / $236.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.08 / $142.13 / $329.78
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.54 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.35 / $130.57 / $180.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.18 / $212.36 / $286.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.76 / $1,818.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.63 / $170.62 / $758.33
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
$92.08 / $133.43 / $260.76