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Massachusetts rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $741.31 / $891.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $446.68 / $2,691.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,995.26 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,819.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $446.68 / $2,691.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,995.26 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,311.31 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,995.26 / $1,995.26