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New York rates for HCPCS 20150

Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.80 / $3,951.00 / $10,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.06 / $1,043.63 / $2,503.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.92 / $1,082.89 / $2,340.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.85 / $1,415.85 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.85 / $1,415.85 / $1,415.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.59 / $1,137.59 / $1,137.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.90 / $1,491.89 / $3,785.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,274.00 / $2,678.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.44 / $1,554.35 / $2,297.17
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.69 / $940.69 / $940.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.22 / $1,199.53 / $2,116.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,137.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.18 / $1,491.89 / $3,493.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.02 / $1,306.36 / $3,119.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.53 / $1,199.53 / $4,008.81
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.68 / $1,310.94 / $2,535.61