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New York rates for HCPCS 25101

Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.82 / $4,043.00 / $9,868.00
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
$573.72 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.82 / $469.82 / $469.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $700.70 / $1,172.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.28 / $389.28 / $389.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,236.50 / $4,236.50 / $4,236.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.82 / $555.00 / $597.00
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
$495.26 / $495.26 / $1,977.00