go back

New York rates for HCPCS 24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.36 / $4,545.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.32 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.03 / $828.03 / $828.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $720.00 / $1,951.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.42 / $685.42 / $685.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $828.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.32 / $873.32 / $2,278.75