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New York rates for HCPCS L3255

Non-Standard Size Or Length (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $19.57 / $24.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $19.57 / $24.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $189.00 / $447.93
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $23.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.33 / $3.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33