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New York rates for HCPCS 45121

Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.00 / $3,100.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.81 / $2,054.84 / $3,447.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $4,922.00 / $11,208.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.37 / $1,761.37 / $3,980.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,459.77 / $2,459.77 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,459.77 / $2,459.77 / $2,459.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.00 / $1,988.99 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.46 / $2,590.51 / $6,458.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,833.10 / $4,692.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.91 / $2,405.88 / $3,607.85
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.37 / $1,611.37 / $1,611.37
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.19 / $2,062.64 / $3,201.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,988.99 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.97 / $2,513.67 / $6,013.82
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
$1,468.42 / $2,071.80 / $4,762.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.64 / $2,062.64 / $6,431.65
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.19 / $2,313.33 / $4,385.01