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New York rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.11 / $5,576.00 / $12,051.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,278.00 / $12,915.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.30 / $1,412.30 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.32 / $1,138.32 / $13,296.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,697.60 / $3,100.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,533.26 / $7,533.26 / $7,533.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $8,147.00 / $13,296.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.36 / $1,139.36 / $3,319.76