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Massachusetts rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $69.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.32 / $176.32 / $333.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $101.07 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.32 / $176.32 / $333.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $410.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $129.83