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New York rates for HCPCS 54520

Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.45 / $4,911.00 / $10,965.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,451.58 / $8,325.85 / $10,930.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,679.00 / $18,161.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.90 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.54 / $373.54 / $5,246.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $559.00 / $894.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,757.39 / $5,097.63 / $9,352.85
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,535.22 / $4,535.22 / $9,322.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.54 / $555.00 / $5,246.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,098.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.55 / $439.55 / $1,095.48