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New York rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $120.23 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $46.77 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $147.91 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $537.03 / $1,995.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $1,348.96 / $1,348.96
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $1,659.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,659.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $50,118.72 / $53,703.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $114.82 / $131.83
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $1,659.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,659.59