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Massachusetts rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $48.56 / $48.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.22 / $181.78 / $566.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $486.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
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
$147.22 / $147.22 / $147.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.22 / $147.22 / $181.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $486.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $57.13 / $118.08