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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
$161.62 / $161.62 / $161.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $168.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $482.44 / $758.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $1,004.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $242.83 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.65 / $379.65 / $758.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $1,004.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $379.65