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New York rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $50.72 / $51.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $52.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.18 / $50.72 / $59.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $50.71 / $103.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $55.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $71.76 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.23 / $50.72 / $97.75
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $52.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $52.63 / $52.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $97.75 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $58.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $76.08
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.63 / $52.63 / $52.63
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $52.63 / $52.63