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Massachusetts rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $138.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $393.72 / $637.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $2,287.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.22 / $522.97 / $667.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $198.18 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.50 / $382.50 / $637.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $2,287.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $311.27