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New York rates for HCPCS 51040

Cystostomy, cystotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.72 / $4,792.00 / $10,965.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.18 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.14 / $504.20 / $867.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.62 / $2,061.62 / $7,740.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $555.00 / $6,511.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.21 / $380.21 / $994.35