go back

New York rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.46 / $4,545.00 / $10,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.47 / $898.02 / $1,562.36
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
$741.81 / $969.69 / $2,205.19
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.26 / $2,972.50 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.26 / $1,215.26 / $1,215.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,017.00 / $1,017.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.49 / $1,333.34 / $3,514.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,110.00 / $2,467.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.84 / $1,397.61 / $2,116.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.91 / $831.91 / $831.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.26 / $1,164.67 / $1,848.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $37,776.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.93 / $1,309.06 / $3,440.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,762.00 / $16,961.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.20 / $1,138.68 / $2,865.40
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.46 / $1,475.46 / $3,326.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.58 / $1,248.03 / $2,215.12