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New York rates for HCPCS 46742

Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches

Facilitymedian $4,898 · 10th–90th $2,570–$11,4820%10%10th90th$4,898Professionalmedian $3,020 · 10th–90th $2,138–$7,4130%20%10th90th$3,020$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,981.07 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,754.23 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,398.83 / $4,786.30
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $4,265.80 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,467.37 / $9,120.11
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,162.28 / $9,332.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,630.78 / $5,623.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,311.31 / $5,248.07
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $3,311.31 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,073.80 / $19,952.62
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,951.21 / $8,709.64
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,951.21 / $6,309.57