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New York rates for HCPCS 26720

Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each

Facilitymedian $2,884 · 10th–90th $275$7,2440%10%10th90th$2,884Professionalmedian $263 · 10th–90th $178$5750%10%20%10th90th$263$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $2,630.27 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $257.04 / $549.54
Aetna
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$213.80 / $407.38 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $208.93 / $524.81
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $331.13 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $812.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $245.47 / $575.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $380.19 / $537.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $275.42 / $446.68
Excellus BCBS
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$120.23 / $223.87 / $346.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $275.42 / $537.03
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $263.03 / $794.33
United
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$87.10 / $87.10 / $89.13
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $234.42 / $588.84
Univera
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$125.89 / $131.83 / $186.21
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $501.19
Univera
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$125.89 / $199.53 / $398.11