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New York rates for HCPCS Q4251

Vim, 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 / $123.03 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $147.91 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $169.82 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $288.40 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $169.82 / $501.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $151.36 / $257.04
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $190.55 / $190.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $190.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $194.98
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $190.55 / $190.55
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $190.55