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Massachusetts rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $153.00 / $153.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.00 / $171.00 / $360.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $684.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.48 / $209.99 / $385.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
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
$153.00 / $153.00 / $153.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.00 / $171.00 / $360.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $180.00 / $270.00