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New York rates for HCPCS A4500

Surgical Stockings Below Knee Length Each (Not Covered By Medicare. See Cim: 60-9 And Mcm: 2133 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.29 / $3.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.49 / $3.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $33.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $12.53 / $12.53
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $12.53 / $12.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.01 / $12.53
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.63 / $5.50
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $3.28
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.01 / $12.53