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New York rates for HCPCS 34203

Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.50 / $4,392.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.98 / $1,314.98 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.33 / $1,068.33 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$103.68 / $103.68 / $103.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,104.77 / $5,490.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,068.33 / $74,999.25
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$103.68 / $103.68 / $103.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $6,700.00 / $16,403.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.29 / $1,166.29 / $3,668.17