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Massachusetts rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $40.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $969.00 / $1,710.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $3,990.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.10 / $62.11 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $969.00 / $1,710.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $3,990.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $81.25