go back

Massachusetts rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $20.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $90.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $90.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.43 / $24.52 / $45.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $39.94 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $90.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $90.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $33.83