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Massachusetts rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.57 / $88.57 / $88.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.32 / $59.35 / $92.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.30 / $291.77 / $885.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.75 / $158.04 / $367.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.45 / $75.41 / $88.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.96 / $195.80 / $258.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.38 / $885.11 / $885.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.45 / $367.45 / $367.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $87.00 / $117.00