go back

Massachusetts rates for HCPCS Q4148

Neox Cord 1k Neox Cord Rt Or Clarix Cord 1k Persquare Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $136.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $369.54 / $562.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $3,125.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $223.98
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $186.01 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.30 / $185.30 / $218.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.50 / $263.50 / $562.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $3,125.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $255.87