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New York rates for HCPCS Q4247

AmnioText Patch, 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 / $144.54 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,019.95 / $3,162.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,467.37 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $537.03 / $4,677.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $2,630.27 / $3,162.28
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,388.44 / $3,388.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,388.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $3,311.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,388.44 / $3,388.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,388.44