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Massachusetts rates for HCPCS Q4101

Apligraf Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $30.23 / $2,697.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $31.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.22 / $31.89 / $134.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.37 / $2,212.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.44 / $37.11 / $68.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $33.06
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.83 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,917.38 / $3,208.44 / $3,208.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $134.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $2,212.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $50.00