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New York rates for HCPCS 63295

Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.54 / $4,392.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,760.00 / $10,017.00 / $17,122.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.30 / $453.30 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.93 / $374.93 / $374.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $639.40 / $15,064.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.92 / $299.92 / $299.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.93 / $555.00 / $37,776.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.30 / $371.30 / $1,153.98