go back

New York rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.60 / $137.93 / $139.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $143.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.83 / $137.93 / $151.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.08 / $130.12 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $195.18 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $137.93 / $258.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $143.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $143.13 / $143.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.08 / $130.12 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $165.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $211.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.13 / $143.13 / $143.13
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $143.13 / $143.13