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New York rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $2,818.38 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $239.88 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $524.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $199.53 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $275.42 / $776.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $162.18 / $389.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $489.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $602.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $831.76 / $1,071.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $239.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $257.04 / $549.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $134.90 / $218.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $524.81