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New York rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $11.27 / $17.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $11.69 / $17.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $12.00 / $39.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.29 / $26.78 / $26.78
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $14.28 / $14.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $12.36 / $26.10
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $25.60 / $25.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $14.28 / $25.60