go back

New York rates for HCPCS G0416

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $323.59 / $331.13
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$199.53 / $288.40 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $194.98 / $478.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $269.15 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $74.13 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $100.00 / $891.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $251.19
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $457.09 / $851.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $186.21 / $269.15
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$44.67 / $208.93 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $154.88 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $173.78 / $234.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $707.95
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $229.09 / $323.59
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $263.03 / $380.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $707.95
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $208.93 / $346.74
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $257.04 / $398.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.18 / $181.97 / $380.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $741.31
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $169.82 / $354.81
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $190.55 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $245.47 / $630.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $117.49 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $120.23 / $371.54
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $707.95
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $190.55 / $346.74
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $229.09 / $398.11