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New York rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $106.97 / $108.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $111.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.80 / $106.97 / $224.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.24 / $100.91 / $100.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $151.37 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $123.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $106.97 / $111.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $111.00 / $111.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.24 / $100.91 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $164.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.00 / $111.00 / $111.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $111.00 / $111.00