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New York rates for HCPCS Q4117

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

Facilitymedian $30 · 10th–90th $22$1660%10%20%10th90th$30Professionalmedian $25 · 10th–90th $21$1260%20%40%10th90th$25$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$19.05 / $120.23 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.91 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $28.84 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $138.04 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $138.04 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $239.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $30.20 / $30.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $30.20
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $134.90
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $30.20 / $30.20
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $30.20