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Massachusetts rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $83.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.65 / $500.65 / $2,756.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $2,756.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $120.26 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.65 / $500.65 / $2,756.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $2,756.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $500.82