New York
Highmark BCBS Western New York fee schedule, by CPT code.
Highmark Blue Cross Blue Shield Western New York publishes the rate it negotiated with your practice every month, by NPI. We read that file and give you the number — for a single code free, or for your whole code list across every payer you contract with on a paid plan.
What you get
The number, and everything behind it.
The exact dollar Highmark BCBS Western New York negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which Highmark BCBS Western New York network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, Highmark BCBS Western New York becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
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