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New York rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.92 / $5,960.00 / $12,592.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,047.20 / $2,609.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.46 / $1,072.50 / $2,494.77
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,418.98 / $3,478.50 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.98 / $1,418.98 / $1,418.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.90 / $1,137.90 / $1,137.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.93 / $1,361.99 / $3,390.34
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $975.00 / $2,666.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.63 / $1,404.74 / $2,927.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.76 / $944.14 / $1,866.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,837.32 / $3,837.32 / $7,205.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,137.90 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.23 / $1,369.00 / $3,445.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $13,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.19 / $1,160.10 / $2,568.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.48 / $1,202.48 / $3,551.76
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.76 / $1,202.48 / $2,766.47