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New York rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.31 / $461.36 / $465.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $479.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.02 / $461.36 / $461.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $435.24 / $1,417.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $500.53 / $979.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.45 / $500.53 / $822.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $478.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $478.76 / $478.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $555.00 / $1,417.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $544.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $692.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.76 / $478.76 / $478.76
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $478.76 / $478.76