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New York rates for HCPCS A6154

Wound pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $12.31 / $21.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $12.31 / $19.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $14.91 / $30.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $16.73 / $16.73
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $16.73 / $16.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.54 / $23.54 / $23.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $10.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.09 / $36.76 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $27.12 / $43.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $12.34 / $16.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.54 / $23.54 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $34.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $11.36 / $21.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $11.62 / $14.38
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $12.34