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Massachusetts rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $127.50 / $127.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $217.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $150.00 / $254.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.94 / $223.30 / $284.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $217.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $150.00 / $254.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $150.00 / $248.11