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New York rates for HCPCS 43881

Implantation or replacement of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.03 / $5,845.00 / $11,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $682.03 / $873.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $4,975.00 / $11,448.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.80 / $1,371.92 / $2,013.08
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.34 / $952.34 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.34 / $952.34 / $952.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.30 / $843.30 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.47 / $1,101.20 / $2,481.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,200.00 / $2,304.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.98 / $1,204.54 / $1,802.66
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.72 / $830.72 / $830.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.82 / $955.33 / $1,611.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $843.30 / $49,110.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.66 / $830.33 / $2,468.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $4,194.00 / $9,020.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.64 / $945.60 / $2,092.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.72 / $1,038.40 / $1,038.40
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.16 / $1,164.60 / $2,195.01