go back

New York rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $120.23 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $37.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $138.04 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $204.17
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $35.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $50,118.72 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $120.23 / $128.82
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $37.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $35.48