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New York rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.51 / $3,797.00 / $10,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.36 / $767.98 / $1,400.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,434.00 / $12,168.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.16 / $745.32 / $1,727.17
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.48 / $1,030.48 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.48 / $1,030.48 / $1,030.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.01 / $831.01 / $831.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.38 / $1,058.50 / $2,747.67
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $920.00 / $1,959.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.64 / $1,137.66 / $1,680.49
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.54 / $687.54 / $687.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.08 / $747.55 / $1,551.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $831.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.32 / $1,058.50 / $2,490.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.70 / $916.42 / $2,296.77
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.47 / $879.47 / $3,131.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.04 / $958.15 / $1,859.06