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New York rates for HCPCS C1789

Prosthesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.31 / $2,967.00 / $8,236.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.88 / $402.32 / $639.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.63 / $1,364.75 / $3,138.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.01 / $848.01 / $848.01
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.01 / $848.01 / $848.01