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New York rates for HCPCS A6504

Compression burn garment, glove to wrist, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $91.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $381.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.56 / $151.56 / $151.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $90.80 / $90.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.23 / $61.23 / $61.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.23 / $61.23 / $61.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.56 / $151.56 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $90.80 / $90.80
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.23 / $61.23 / $61.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.23 / $61.23 / $61.23