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New York rates for HCPCS 33230

Insertion of implantable defibrillator pulse generator only; with existing dual leads

Facilitymedian $6,607 · 10th–90th $851–$30,9030%5%10%10th90th$6,607Professionalmedian $490 · 10th–90th $355–$1,2590%20%10th90th$490$50.0$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$549.54 / $4,677.35 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,882.50 / $104,712.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $1,000.00
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,398.83 / $16,595.87
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $112,201.85 / $134,896.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $724.44 / $1,778.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $562.34 / $1,288.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $741.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $512.86 / $676.08
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $524.81 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $15,135.61 / $61,659.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $1,445.44
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $660.69 / $1,096.48
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $524.81 / $1,000.00