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Massachusetts rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $61.20 / $64.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $11.21 / $15.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $75.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $12.64 / $159.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $40.79 / $40.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $19.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.54 / $26.54 / $26.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $19.07 / $159.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $15.71 / $30.79