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New York rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $70.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $39.93 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $26.62 / $45.97
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $33.92 / $33.92
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.64 / $33.92 / $33.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $42.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $39.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $32.64 / $32.64
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.64 / $32.64 / $33.92