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New York rates for HCPCS 38900

Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)

Facilitymedian $2,754 · 10th–90th $195$7,2440%10%10th90th$2,754Professionalmedian $204 · 10th–90th $129$5370%10%20%10th90th$204$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$190.55 / $2,511.89 / $7,244.36
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$831.76 / $1,584.89 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $223.87 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $165.96 / $354.81
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $3,235.94 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $281.84 / $660.69
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $162.18 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $213.80 / $302.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $338.84
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $1,698.24 / $2,454.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $165.96 / $281.84
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $194.98 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,511.89 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $186.21 / $407.38
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $144.54 / $263.03
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $338.84