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New York rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.25 / $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
$1,213.33 / $1,213.33 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.76 / $985.76 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,454.83 / $2,622.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $985.76 / $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
$818.85 / $818.85 / $2,912.86