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New York rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $3,235.94 / $10,471.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,388.44 / $4,365.16 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,318.26 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $588.84 / $1,380.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $9,332.54
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $9,549.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $588.84 / $851.14