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New York rates for HCPCS 40842

Vestibuloplasty Posterior Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.36 / $909.82 / $1,894.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.40 / $760.00 / $2,100.34
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.84 / $952.84 / $1,316.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.78 / $1,328.44 / $3,071.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.07 / $1,145.41 / $1,673.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.99 / $945.34 / $1,726.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.35 / $1,352.68 / $3,094.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.44 / $1,110.53 / $2,563.19
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.99 / $1,156.63 / $1,891.62