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Massachusetts rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.77 / $137.77 / $137.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $137.77 / $137.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $178.29 / $623.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $287.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.91 / $199.03 / $365.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
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
$162.08 / $162.08 / $162.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $163.61 / $163.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.02 / $162.08 / $274.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.71 / $162.08 / $268.08