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New York rates for HCPCS 15040

Harvest Skin Tissue Cltr Skin Agrft 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.13 / $3,599.00 / $8,442.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,142.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.43 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.81 / $213.81 / $213.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $183.06 / $332.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.81 / $555.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.00 / $3,961.00 / $8,312.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.13 / $133.13 / $460.51