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New York rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $89.75 / $90.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $93.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.79 / $89.75 / $89.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $84.67 / $1,417.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $127.01 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.90 / $89.75 / $160.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $93.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $93.13 / $93.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $555.00 / $1,417.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.94 / $89.75 / $89.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $137.32
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $93.13 / $93.13