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New York rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Facilitymedian $6,026 · 10th–90th $1,318$13,8040%5%10th90th$6,026Professionalmedian $955 · 10th–90th $741$2,3990%10%20%10th90th$955$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $5,248.07 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $954.99 / $2,238.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $870.96 / $2,089.30
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $3,467.37 / $13,489.63
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,090.30 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,288.25 / $3,801.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,174.90 / $2,951.21
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,230.27 / $1,737.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,096.48 / $1,778.28
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,122.02 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,495.41 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $3,467.37
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $3,630.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,023.29 / $2,290.87