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New York rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $93.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $92.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $186.02
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $247.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $89.41 / $202.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $126.53 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.57 / $89.41 / $154.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $92.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $92.78 / $92.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $191.25 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $99.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $134.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.78 / $92.78 / $92.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $92.78 / $92.78