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New York rates for HCPCS 11981

Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)

Facilitymedian $2,630 · 10th–90th $117$7,4130%5%10%10th90th$2,630Professionalmedian $151 · 10th–90th $71$3550%10%10th90th$151$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$107.15 / $1,819.70 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $158.49 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $95.50
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
$109.65 / $141.25 / $288.40
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $107.15 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $131.83 / $288.40
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $89.13 / $213.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $229.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $186.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $501.19 / $2,511.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $208.93
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $158.49 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $102.33 / $257.04
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $66.07 / $316.23
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $120.23 / $257.04