go back

New York rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $915.09 / $924.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $951.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.29 / $863.29 / $1,417.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $915.09 / $1,942.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.45 / $915.09 / $1,572.91
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.09 / $915.09 / $949.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $949.62 / $949.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $863.29 / $1,417.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,404.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.62 / $949.62 / $949.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $949.62 / $949.62