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New York rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $74.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $169.82 / $501.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $151.36 / $208.93
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $67.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $67.61 / $67.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $181.97
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $72.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $67.61 / $67.61