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New York rates for HCPCS Q4254

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $355.88 / $370.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $355.88 / $370.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.20 / $355.88 / $809.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.71 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $408.00 / $755.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.80 / $408.00 / $408.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.71 / $408.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $715.20