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Massachusetts rates for HCPCS A2009

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.63 / $59.63 / $59.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.98 / $59.63 / $85.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.09 / $104.09 / $219.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $416.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
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
$104.09 / $104.09 / $219.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $416.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $154.82