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New York rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.83 / $1,145.27 / $11,609.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.54 / $904.73 / $1,541.01
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
$795.14 / $987.43 / $2,115.28
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.24 / $1,020.24 / $13,009.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.24 / $1,020.24 / $1,236.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.44 / $1,228.44 / $1,228.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.49 / $1,367.54 / $3,042.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,191.00 / $1,886.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.11 / $1,392.59 / $1,949.45
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.16 / $833.16 / $833.16
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $1,041.11 / $1,836.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.23 / $392.23 / $392.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,228.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.49 / $1,369.28 / $3,079.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.12 / $1,126.05 / $2,770.83
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.42 / $848.42 / $4,462.79
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.96 / $1,161.08 / $1,836.57