go back

New York rates for HCPCS 54690

Laparoscopy, surgical; orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.05 / $5,718.90 / $13,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.84 / $881.32 / $1,362.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,568.00 / $7,578.00 / $14,193.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.70 / $638.79 / $1,691.89
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.46 / $4,275.50 / $16,534.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.46 / $926.46 / $926.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.16 / $746.16 / $13,296.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.66 / $1,144.51 / $2,574.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,121.09 / $2,024.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.40 / $891.72 / $1,334.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.88 / $742.80 / $1,197.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $746.16 / $13,296.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.12 / $1,144.51 / $2,574.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $8,115.00 / $16,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.86 / $858.86 / $2,031.91
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.88 / $873.88 / $2,403.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.88 / $817.28 / $1,386.29