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New York rates for HCPCS 42120

Resection of palate or extensive resection of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.89 / $4,150.00 / $10,170.00
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
$1,436.39 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.54 / $1,121.54 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $610.00 / $2,607.19
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.79 / $932.79 / $1,040.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,806.81 / $9,806.81 / $16,409.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,121.54 / $7,771.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $3,972.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.38 / $1,197.02 / $2,829.36