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Massachusetts rates for HCPCS Q4164

Helicoll Per Sqaure Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,706.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $2,182.75 / $5,436.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $5,460.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.04 / $50.71 / $64.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $2,461.40 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.75 / $2,182.75 / $2,631.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $5,460.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.27 / $1,640.93 / $2,461.40