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New York rates for HCPCS Q4115

AlloSkin, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $13 · 10th–90th $12$1660%20%40%10th90th$13Professionalmedian $13 · 10th–90th $12$540%20%40%10th90th$13$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $138.04 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $125.89 / $125.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $138.04 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $204.17
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $13.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $13.49
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.79 / $125.89
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $14.13
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $13.49