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New York rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.07 / $4,452.00 / $10,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.86 / $385.90 / $712.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $6,758.00 / $18,161.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.50 / $319.62 / $729.62
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.34 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.34 / $422.34 / $422.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.34 / $339.34 / $5,246.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.25 / $518.23 / $1,170.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $336.17 / $766.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.69 / $406.20 / $607.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.43 / $360.70 / $545.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.34 / $555.00 / $5,246.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.43 / $516.27 / $1,145.26
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
$249.45 / $369.59 / $939.34
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.08 / $398.08 / $995.73
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.93 / $398.08 / $631.50