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New York rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.10 / $3,579.00 / $9,887.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.54 / $809.37 / $1,780.02
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
$670.48 / $813.47 / $1,891.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.43 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.43 / $988.43 / $1,215.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.28 / $1,195.28 / $1,195.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.08 / $1,031.28 / $2,407.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $756.81 / $1,851.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.57 / $1,185.26 / $2,495.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.82 / $933.78 / $1,607.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.72 / $3,235.72 / $4,130.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.05 / $954.77 / $1,154.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,195.28 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.02 / $1,090.30 / $2,655.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.78 / $1,001.89 / $2,175.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.92 / $760.92 / $2,620.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.42 / $933.78 / $2,241.37