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Massachusetts rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $68.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.50 / $178.50 / $282.77
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $3,978.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $153.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $98.98 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.50 / $178.50 / $282.77
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $3,978.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $124.23