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New York rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $164.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $168.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $263.32 / $694.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.47 / $152.47 / $379.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $228.72 / $343.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $207.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $167.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $167.72 / $167.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.47 / $161.62 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $175.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $247.99
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.72 / $167.72 / $167.72
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $167.72 / $167.72