go back

New York rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $553.94 / $559.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $576.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $856.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.07 / $522.58 / $1,062.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $581.64 / $1,175.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.71 / $553.94 / $956.32
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $574.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $574.84 / $574.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.07 / $522.58 / $1,062.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $600.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $849.97
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.84 / $574.84 / $574.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $574.84 / $574.84