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New York rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,621.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $537.03 / $2,238.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $1,258.93 / $1,479.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,479.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,479.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $1,584.89
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,584.89
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,479.11