go back

New York rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.63 / $3,797.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $686.01 / $1,001.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.82 / $589.32 / $1,343.49
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.93 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.93 / $841.93 / $841.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.08 / $671.08 / $1,685.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.11 / $757.14 / $1,652.95
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $628.76 / $1,520.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.91 / $807.23 / $1,257.52
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.02 / $763.60 / $1,271.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $671.08 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.96 / $765.48 / $1,619.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $4,370.00 / $9,187.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.45 / $658.83 / $1,490.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.62 / $819.62 / $1,764.40
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.02 / $938.12 / $1,523.99