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New York rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.66 / $1.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.65 / $0.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.70 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.70 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.97