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Massachusetts rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $762.88 / $762.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.10 / $587.64 / $1,795.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.88 / $1,997.50 / $3,410.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.87 / $1,047.03 / $1,922.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $919.55 / $919.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.50 / $897.50 / $1,795.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $3,410.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $1,997.50 / $3,303.94