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Massachusetts rates for HCPCS Q4115

Alloskin Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $13.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $12.86 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $66.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $15.79 / $29.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.12 / $25.72 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $66.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $21.27