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Massachusetts rates for HCPCS Q4201

Matrion 1 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $79.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.18 / $285.18 / $375.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $404.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.09 / $114.33 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.18 / $285.18 / $375.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $404.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $146.85