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New York rates for HCPCS Q4214

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $120.23 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $117.49 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $154.88 / $186.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $218.78 / $537.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $295.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $169.82