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New York rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.69 / $2,865.00 / $7,521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.88 / $273.10 / $464.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.26 / $233.02 / $598.40
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.70 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.70 / $300.70 / $365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.24 / $360.24 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.34 / $419.00 / $871.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.90 / $538.00 / $860.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.70 / $363.38 / $519.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.96 / $332.30 / $519.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.24 / $555.00 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.83 / $435.76 / $988.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.00 / $2,507.00 / $4,592.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.13 / $351.78 / $665.68
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.78 / $240.78 / $784.98
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.49 / $321.91 / $546.03