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Massachusetts rates for HCPCS Q4249

Amniply, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,048.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.33 / $2,620.33 / $5,402.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $10,264.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $2,867.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.33 / $2,620.33 / $5,402.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $10,264.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $3,258.28