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New York rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.46 / $3,659.00 / $10,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.10 / $798.37 / $1,463.75
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
$695.72 / $837.09 / $1,829.72
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.40 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.40 / $1,035.40 / $1,242.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.23 / $1,223.23 / $1,223.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.66 / $1,078.84 / $2,544.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $769.92 / $1,886.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.86 / $1,170.15 / $2,462.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.13 / $951.56 / $1,637.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,223.23 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.39 / $1,144.84 / $2,717.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.00 / $3,670.00 / $7,203.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.22 / $1,051.31 / $2,743.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.28 / $794.28 / $2,568.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.13 / $951.56 / $2,210.23