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New York rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.24 / $4,441.00 / $10,024.00
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
$874.16 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.47 / $713.47 / $713.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $875.00 / $1,674.47
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.29 / $591.29 / $591.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $713.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $6,054.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.44 / $750.44 / $2,750.28