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Massachusetts rates for HCPCS Q4106

Dermagraft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.20 / $38.20 / $38.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $38.20 / $38.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.26 / $55.26 / $157.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $1,816.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.22 / $55.19 / $101.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
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
$55.26 / $55.26 / $157.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $1,816.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $50.94 / $76.41