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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
$1,370.73 / $1,427.45 / $1,441.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,484.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,346.65 / $1,479.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,427.45 / $3,029.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.98 / $1,427.45 / $2,453.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,481.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,481.32 / $1,481.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,346.65 / $1,479.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,548.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $2,184.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.32 / $1,481.32 / $1,481.32
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,481.32 / $1,481.32