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New York rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.44 / $4,043.00 / $8,907.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $131.37 / $284.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.12 / $114.39 / $266.94
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.93 / $158.93 / $158.93
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.93 / $158.93 / $158.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.04 / $110.04 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.93 / $205.19 / $455.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.07 / $165.98 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.50 / $131.52 / $196.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.29 / $115.98 / $177.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.35 / $3,316.80 / $5,633.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.71 / $113.71 / $113.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.04 / $110.04 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.78 / $185.15 / $406.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.61 / $141.85 / $321.89
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.18 / $116.18 / $162.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.70 / $123.73 / $195.82