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New York rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.16 / $4,629.00 / $10,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.82 / $1,476.75 / $3,040.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.99 / $1,534.63 / $3,432.11
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,011.95 / $2,011.95 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.95 / $2,011.95 / $2,011.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.28 / $1,579.28 / $1,579.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.26 / $2,234.86 / $5,183.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,681.00 / $3,604.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.52 / $2,110.29 / $3,091.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.33 / $1,320.33 / $1,320.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.48 / $1,432.35 / $2,972.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.07 / $3,054.07 / $3,054.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,579.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.87 / $2,137.96 / $4,971.22
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
$1,284.79 / $1,803.35 / $4,323.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.12 / $1,685.12 / $6,305.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.48 / $1,840.01 / $3,562.08