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New York rates for HCPCS 54437

Repair of traumatic corporeal tear(s)

Facilitymedian $4,467 · 10th–90th $1,047$10,9650%10%10th90th$4,467Professionalmedian $851 · 10th–90th $589$2,1880%20%10th90th$851$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
$954.99 / $3,801.89 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $2,238.72
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
$562.34 / $691.83 / $1,778.28
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,398.83 / $10,964.78
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $4,786.30 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,202.26 / $3,090.30
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $776.25 / $2,344.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $1,288.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $912.01 / $1,445.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $954.99 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $891.25 / $2,187.76
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $912.01 / $1,698.24
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $870.96 / $1,737.80