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New York rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.04 / $5,168.00 / $11,268.87
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,171.10 / $3,171.10 / $3,171.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.80 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.62 / $366.62 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $530.00 / $848.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.34 / $3,677.72 / $6,571.57
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,595.04 / $7,595.04 / $7,595.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.62 / $555.00 / $6,511.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.94 / $431.94 / $1,078.32