go back

New York rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.38 / $3,659.00 / $9,648.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.83 / $718.48 / $1,652.17
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
$598.67 / $733.63 / $1,620.05
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.02 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.02 / $922.02 / $1,120.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.68 / $1,095.68 / $1,095.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.26 / $949.98 / $2,148.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $690.15 / $1,681.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.36 / $1,063.30 / $2,231.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.29 / $733.37 / $1,446.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,256.89 / $4,256.89 / $4,256.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.04 / $842.04 / $842.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,095.68 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.82 / $1,007.43 / $2,310.69
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
$536.39 / $943.54 / $1,997.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.42 / $696.42 / $2,077.71
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.29 / $773.69 / $1,941.63