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New York rates for HCPCS 11604

Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm

Facilitymedian $3,311 · 10th–90th $309–$7,7620%5%10th90th$3,311Professionalmedian $309 · 10th–90th $182–$7240%5%10%10th90th$309$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $3,090.30 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $309.03 / $724.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $309.03 / $691.83
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $3,235.94 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $354.81 / $851.14
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $691.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $436.52 / $691.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $575.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,380.38 / $2,290.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $562.34
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $398.11 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,951.21 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $302.00 / $707.95
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $229.09 / $562.34
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $363.08 / $724.44