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New York rates for HCPCS 33240

Insertion of implantable defibrillator pulse generator only; with existing single lead

Facilitymedian $7,413 · 10th–90th $1,000–$29,5120%10%10th90th$7,413Professionalmedian $490 · 10th–90th $339–$1,2300%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
$575.44 / $5,248.07 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $489.78 / $1,288.25
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
$309.03 / $398.11 / $1,023.29
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $2,398.83 / $15,135.61
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
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
$371.54 / $741.31 / $2,089.30
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $870.96 / $1,513.56
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $724.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $489.78 / $660.69
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $575.44
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
$331.13 / $524.81 / $1,445.44
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $660.69 / $2,344.23
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $512.86 / $1,949.84