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Massachusetts rates for HCPCS Q4194

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $690.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.76 / $882.76 / $3,792.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $3,792.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $997.10 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.76 / $882.76 / $3,792.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $3,792.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $1,097.67