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Massachusetts rates for HCPCS A6504

Compression burn garment, glove to wrist, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $125.89 / $398.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $125.89 / $398.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $125.89