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New York rates for HCPCS 19112

Excision of lactiferous duct fistula

Facilitymedian $4,677 · 10th–90th $575$11,4820%5%10th90th$4,677Professionalmedian $427 · 10th–90th $282$1,1480%10%10th90th$427$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $3,715.35 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $416.87 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $1,174.90
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,995.26 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $4,365.16 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $660.69 / $1,659.59
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $524.81 / $1,288.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $741.31 / $1,047.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $588.84 / $977.24
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,981.07 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $524.81 / $1,288.25
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $933.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $549.54 / $1,023.29