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New York rates for HCPCS 27536

Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.99 / $5,164.00 / $12,051.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,434.00 / $12,168.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.53 / $1,672.53 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.11 / $1,346.11 / $1,346.11
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$133.62 / $133.62 / $133.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,661.00 / $3,166.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.06 / $1,113.06 / $1,113.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,943.00 / $2,943.00 / $4,236.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,346.11 / $15,753.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$133.62 / $133.62 / $133.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.89 / $1,419.89 / $5,246.89