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New York rates for HCPCS 20922

Fascia lata graft; by incision and area exposure, complex or sheet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.84 / $3,414.00 / $9,267.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.69 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.53 / $848.53 / $848.53
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $771.57 / $1,342.40
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.99 / $571.99 / $571.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $848.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.17 / $597.17 / $2,152.46