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Massachusetts rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $245.30 / $7,285.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $269.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.30 / $326.30 / $1,071.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $1,071.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.20 / $440.04 / $561.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $368.56 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.30 / $326.30 / $1,071.67
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $1,071.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $423.06