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Massachusetts rates for HCPCS Q4116

Alloderm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $13,405.02 / $34,866.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.89 / $26.44 / $26.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.35 / $41.08 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.44 / $31.11 / $58.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.38 / $38.20 / $70.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
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
$31.11 / $31.11 / $31.11
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,196.29 / $6,411.55 / $6,411.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $31.11 / $55.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $31.11 / $46.67