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New York rates for HCPCS 61559

Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining grafts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.00 / $5,324.00 / $11,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.44 / $2,688.52 / $10,372.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,793.00 / $9,974.00 / $17,122.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.38 / $2,578.28 / $5,496.31
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,322.50 / $3,322.50 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,322.50 / $3,322.50 / $3,322.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.63 / $2,747.63 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,281.81 / $4,120.99 / $12,590.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $3,981.46 / $6,840.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,898.24 / $3,207.28 / $5,230.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.45 / $2,748.56 / $4,369.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,747.63 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.50 / $4,173.47 / $12,260.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,424.03 / $3,582.61 / $7,784.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.56 / $2,748.56 / $7,526.43
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.45 / $2,943.21 / $5,243.34