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New York rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.48 / $236.77 / $247.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.48 / $236.77 / $472.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.70 / $404.47 / $754.48
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $4,050.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.07 / $261.07 / $261.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $195.00 / $285.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.07 / $261.07 / $261.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.07 / $261.07 / $862.31