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New York rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,311.31 / $9,120.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $11,481.54 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $851.14 / $1,584.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,344.23 / $2,951.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $11,220.18
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $524.81 / $2,137.96