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Massachusetts rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $362.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.50 / $688.50 / $1,215.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $2,835.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $524.40 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.50 / $688.50 / $1,215.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $2,835.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $673.61