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New York rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.94 / $4,392.00 / $10,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $10,576.00 / $24,288.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.42 / $3,478.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.93 / $1,319.93 / $1,319.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,242.30 / $3,058.85
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.88 / $1,089.88 / $1,089.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $597.00 / $1,319.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.33 / $1,395.33 / $3,155.34