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Massachusetts rates for HCPCS Q4108

Integra Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $40.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $118.01 / $197.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $197.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.35 / $47.33 / $86.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $60.89 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $72.81 / $85.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $197.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $197.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $79.65