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Massachusetts rates for HCPCS A2004

XCelliStem, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $13.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $21.38 / $33.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $25.70 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $31.62