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New York rates for HCPCS Q4125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.91 / $138.91 / $7,509.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $138.91 / $138.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.57 / $39.21 / $70.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39,999.60 / $39,999.60 / $39,999.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25