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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
$404.57 / $3,659.00 / $10,170.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,845.44 / $10,055.34 / $16,443.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,263.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.37 / $1,254.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.16 / $627.16 / $627.16
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $382.40 / $1,470.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.35 / $2,984.35 / $9,255.24
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,214.23 / $9,214.23 / $9,214.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $627.16 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.03 / $594.03 / $853.61