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New York rates for HCPCS 57415

Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $3,754.00 / $8,442.00
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
$246.20 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.18 / $199.18 / $4,612.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $212.80 / $458.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.49 / $2,993.49 / $2,993.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.18 / $555.00 / $4,612.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.00 / $5,181.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.09 / $202.09 / $470.87