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New York rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $2,754.23 / $8,128.31
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
$489.78 / $489.78 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $588.84 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,230.27
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $3,019.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,467.37 / $6,165.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $407.38 / $1,621.81