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New York rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.64 / $3,599.00 / $10,170.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.45 / $267.45 / $267.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.63 / $260.63 / $260.63
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$159.84 / $159.84 / $159.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$25.58 / $25.58 / $25.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.15 / $285.06 / $624.78
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.15 / $209.15 / $209.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.00 / $1,717.50 / $1,989.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.63 / $555.00 / $37,776.00
MVP Health Care
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$159.84 / $159.84 / $159.84
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$25.58 / $25.58 / $25.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.00 / $2,826.00 / $4,840.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.31 / $377.31 / $393.92