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New York rates for HCPCS L8631

Metacarpophalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)

Facilitymedian $1,820 · 10th–90th $1,122$5,6230%10%10th90th$1,820Professionalmedian $1,349 · 10th–90th $891$3,5480%10%20%10th90th$1,349$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,089.30 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,288.25 / $2,089.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,071.52 / $4,168.69
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,187.76 / $2,187.76
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $3,090.30
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,365.16 / $10,232.93
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,818.38 / $5,011.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,659.59 / $1,862.09
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,570.40 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,778.28 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,737.80 / $4,365.16
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,548.82 / $1,737.80
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,659.59