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ArthroFlex

Massachusetts rates for HCPCS Q4125

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

Rates data updated July 2026.

How much does ArthroFlex cost?

$138

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $151 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$129 to $138
FacilityA hospital or hospital-owned outpatient department$151$141 to $209

How much rates vary

Facilitymedian $151 · 10th to 90th $135 to $380Professionalmedian $138 · 10th to 90th $126 to $148
$10.0$100.0$1.0K$10.0Kfacility $151professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$707.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$269.15
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
$2,951.21
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$154.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$707.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$141.25

Where Massachusetts sits

The same service costs 3.7 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $138 · 45th of 51
AK $141MN $38.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.