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Massachusetts rates for HCPCS Q4117

Hyalomatrix Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $24.39 / $24.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.61 / $80.00 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.61 / $28.69 / $109.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $33.47 / $61.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
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
$16.91 / $16.91 / $16.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $109.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $28.69 / $50.97