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New York rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $57.54 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $123.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $60.26 / $60.26
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $128.82 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $79.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $120.23 / $281.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $77.62 / $141.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $42.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $42.66 / $45.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $44.67 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $37.15 / $61.66
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $42.66 / $44.67
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $42.66 / $45.71