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New York rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.93 / $3,100.00 / $7,343.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.69 / $145.63 / $345.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,382.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.74 / $154.19 / $340.27
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.96 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.96 / $196.96 / $247.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.31 / $236.31 / $236.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.70 / $217.07 / $500.22
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $187.92 / $368.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.27 / $239.09 / $504.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $204.63 / $374.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.31 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.13 / $223.97 / $513.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.18 / $203.78 / $441.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.63 / $151.63 / $474.45
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $231.00 / $446.65