go back

New York rates for MS-DRG 585

Breast biopsy, local excision & other breast procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $40,738.03 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $63,095.73 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $54,954.09 / $69,183.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $48,977.88 / $120,226.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $18,620.87 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $41,686.94 / $70,794.58