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New York rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $62.77 / $4,589.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $54.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.98 / $52.75 / $83.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.82 / $43.82 / $46.01
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.82 / $43.82 / $43.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.47 / $49.77 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $57.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.23 / $74.66 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.26 / $57.23 / $66.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $54.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $54.74 / $54.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.64 / $323.64 / $323.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.47 / $52.75 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $62.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $79.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.74 / $54.74 / $54.74
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $54.74 / $54.74