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New York rates for HCPCS 63709

Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.67 / $4,392.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,279.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.92 / $1,556.92 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.82 / $1,271.82 / $1,271.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$126.39 / $126.39 / $126.39
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,898.77 / $3,528.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.58 / $1,037.58 / $1,037.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $49,110.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$126.39 / $126.39 / $126.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,859.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.51 / $1,287.51 / $4,665.07