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New York rates for HCPCS 39501

Repair, laceration of diaphragm, any approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.72 / $4,392.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.00 / $7,688.00 / $14,242.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.08 / $1,202.08 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.57 / $968.57 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,439.15 / $2,604.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $968.57 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.66 / $806.66 / $2,922.58