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New York rates for HCPCS 53080

Drainage of perineal urinary extravasation; uncomplicated (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.49 / $4,442.00 / $10,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.45 / $511.71 / $816.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.72 / $438.85 / $1,034.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.38 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.38 / $593.38 / $593.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.73 / $478.73 / $5,246.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.39 / $725.79 / $1,650.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $446.72 / $1,087.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.38 / $575.16 / $860.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.71 / $465.35 / $766.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.73 / $555.00 / $5,246.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.12 / $725.40 / $1,513.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.49 / $526.47 / $1,314.02
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.47 / $547.47 / $1,633.94
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.06 / $527.17 / $894.22