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New York rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $142.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $137.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.41 / $131.90 / $219.42
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.83 / $178.83 / $196.71
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.83 / $178.83 / $178.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.20 / $124.43 / $382.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $143.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $186.65 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $298.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $136.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $136.88 / $136.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.20 / $131.90 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $172.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $202.39
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.88 / $136.88 / $136.88
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $136.88 / $136.88