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Massachusetts rates for HCPCS Q4155

Neoxflo Or Clarixflo 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $27.69 / $27.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $126.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $39.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.68 / $53.24 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $56.43
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $126.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $39.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $39.93