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Massachusetts rates for HCPCS Q4253

Zenith Amniotic Membrane Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $78.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $969.00 / $1,140.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $1,311.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.79 / $113.87 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $969.00 / $1,140.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $1,311.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $972.32