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New York rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $492.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $507.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $1,154.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $459.99 / $833.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $511.97 / $1,034.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.99 / $487.59 / $838.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $505.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $505.99 / $505.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $555.00 / $833.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $522.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $748.16
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.99 / $505.99 / $505.99
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $505.99 / $505.99