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Massachusetts rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $576.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.50 / $1,062.50 / $1,250.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $1,805.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $832.29 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.53 / $420.62 / $420.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.50 / $1,062.50 / $1,250.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $1,805.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $1,069.09