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New York rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $1,820.00 / $1,820.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $6.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.00 / $462.60 / $710.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $597.00 / $597.00