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New York rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.13 / $3,841.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.57 / $554.85 / $1,051.25
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
$406.45 / $531.30 / $1,278.66
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.60 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.60 / $738.60 / $738.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.38 / $600.38 / $600.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.42 / $847.82 / $1,967.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $840.00 / $1,415.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.48 / $821.84 / $1,213.93
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.76 / $496.76 / $496.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.50 / $542.41 / $1,116.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $600.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.70 / $814.26 / $1,859.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $6,054.00 / $11,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.10 / $701.87 / $1,667.97
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.09 / $633.09 / $3,302.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.76 / $692.28 / $1,338.25