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New York rates for HCPCS 49013

Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.28 / $3,996.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.07 / $612.07 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.14 / $519.14 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $535.02 / $1,217.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.14 / $555.00 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.75 / $533.75 / $638.66