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New York rates for HCPCS 41120

Glossectomy; less than one-half tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.99 / $5,073.68 / $12,010.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $12,173.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.92 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.83 / $1,181.83 / $7,289.38
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$118.18 / $118.18 / $118.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $460.00 / $2,739.78
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.25 / $979.25 / $1,192.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,540.05 / $11,540.05 / $19,045.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,181.83 / $7,771.36
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$118.18 / $118.18 / $118.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,547.00 / $13,746.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.63 / $1,260.67 / $3,649.16