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New York rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $3,019.95 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $181.97 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$18.20 / $18.20 / $18.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $123.03 / $363.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,754.23 / $4,897.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $112.20 / $407.38