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New York rates for HCPCS 97760

Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes

Facilitymedian $112 · 10th–90th $29$3800%10%10th90th$112Professionalmedian $38 · 10th–90th $23$1120%10%20%10th90th$38$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
$28.84 / $114.82 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $33.11 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $69.18 / $79.43
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $186.21 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $53.70 / $144.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $52.48 / $120.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $102.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $54.95 / $61.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $57.54 / $87.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $53.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $100.00
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
$56.23 / $64.57 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $45.71 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $53.70 / $309.03
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $52.48 / $93.33
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $102.33