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Massachusetts rates for HCPCS A2007

Restrata, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $205.70 / $205.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.90 / $229.90 / $484.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $919.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.90 / $229.90 / $484.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $919.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $363.89