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AlloSkin RT

Massachusetts rates for HCPCS Q4123

AlloSkin RT, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $112 · 10th–90th $71$2690%20%10th90th$112Professionalmedian $71 · 10th–90th $71$1260%50%90th$71$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$70.79
Typical High
$707.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$1,995.26
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$120.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$70.79
Typical High
$707.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$125.89