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New York rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.63 / $2,842.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.88 / $197.63 / $380.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.25 / $189.88 / $485.57
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.87 / $160.87 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.87 / $160.87 / $277.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.27 / $197.27 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.31 / $269.88 / $655.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $144.50 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.92 / $264.89 / $396.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.31 / $226.48 / $351.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.27 / $197.27 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $279.11 / $665.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $4,176.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $239.82 / $573.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.24 / $137.24 / $479.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.24 / $235.54 / $380.10