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New York rates for HCPCS 27105

Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $4,629.00 / $10,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.21 / $909.01 / $1,695.41
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
$711.07 / $929.51 / $2,136.34
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.26 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.26 / $1,230.26 / $1,230.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.60 / $990.60 / $990.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.57 / $1,308.85 / $3,289.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $942.19 / $2,333.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.41 / $1,377.92 / $2,001.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.19 / $820.19 / $820.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.15 / $1,046.41 / $1,845.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $990.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.26 / $1,308.85 / $3,034.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.19 / $1,091.35 / $2,735.22
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.41 / $1,046.41 / $3,977.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.56 / $1,143.02 / $2,211.94