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New York rates for HCPCS Q4222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.55 / $145.49 / $146.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $151.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.69 / $145.49 / $150.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.25 / $137.25 / $183.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $205.88 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.11 / $145.49 / $250.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $145.49 / $150.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $150.97 / $150.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.25 / $183.60 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $157.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $223.24
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.97 / $150.97 / $150.97
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $150.97 / $150.97