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Massachusetts rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $302.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $239.88 / $954.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $234.42 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $169.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $239.88 / $954.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $363.08 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $371.54