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Massachusetts rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $93.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $292.76 / $1,668.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $1,884.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.30 / $110.21 / $202.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $134.85 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $103.62 / $121.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $1,417.80 / $1,668.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $1,884.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $169.24