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New York rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.29 / $2,518.00 / $7,185.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $98.92 / $258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,142.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.61 / $111.87 / $245.63
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.60 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.60 / $101.60 / $168.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.20 / $121.20 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.91 / $129.36 / $280.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.00 / $119.39 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.07 / $156.56 / $330.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.05 / $110.72 / $214.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.19 / $2,211.19 / $2,211.19
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.91 / $144.63 / $229.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.20 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $146.97 / $346.50
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
$76.78 / $135.51 / $292.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.19 / $76.19 / $266.45
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.05 / $124.36 / $244.56