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Massachusetts rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $35.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $96.00 / $130.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $126.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.60 / $53.59 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $57.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $96.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $126.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.75 / $33.92 / $56.11