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New York rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $83.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $447.64 / $1,218.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $80.04 / $624.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $113.27 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.51 / $80.04 / $142.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $83.06
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $83.06 / $83.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $262.41 / $624.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $113.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $122.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.06 / $83.06 / $83.06
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $83.06 / $83.06