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Massachusetts rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $479.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $1,417.80 / $2,300.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $3,092.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $693.19 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.93 / $723.93 / $851.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $1,417.80 / $2,300.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $3,092.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $953.54