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Massachusetts rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,151.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,825.40 / $2,825.40 / $6,648.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $12,631.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $2,895.86 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,825.40 / $2,825.40 / $6,648.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $12,631.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $3,421.33