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New York rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.09 / $130.69 / $130.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.09 / $126.08 / $130.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $67.69 / $139.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.56 / $60.56 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $211.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $130.69 / $130.69
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $6.29 / $130.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $130.69 / $130.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.56 / $130.69 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $183.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $130.69 / $130.69