go back

Massachusetts rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $92.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $384.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $436.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $134.34 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $384.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $436.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $168.59