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New York rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $245.30 / $247.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $255.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.71 / $245.30 / $308.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.73 / $223.73 / $234.92
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.73 / $223.73 / $223.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $238.69 / $274.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $300.85 / $520.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.99 / $245.30 / $421.65
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $245.30 / $254.56
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $254.56 / $254.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $245.30 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $266.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $376.39
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.56 / $254.56 / $254.56
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $254.56 / $254.56