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New York rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $321.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $330.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $380.21 / $1,141.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $300.00 / $1,232.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $345.00 / $675.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $318.00 / $567.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $330.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $330.00 / $330.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $555.00 / $1,232.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $375.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $486.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $330.00 / $330.00