Highmark BCBS of NY
DLEU & VSU
New York
Empire BCBS
DFU - Grafix Prime only
MetroPlus
Based on Medical Necessity
EmblemHealth
DFU, VLU, Pressure Ulcers, and Burns
New York Medicaid (FFS)
Based on Medical Necessity
HealthFirst
Based on Medical Necessity
Fidelis Care (Centene)
Covered DFU, VSU, and VLU
Wellcare (Centene)
DFU and VLU - Grafix PRIME (Q4133) only
Sierra Health and Life (UHC)
Follows Active Medicare LCD/LCA