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New York rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.93 / $40.82 / $75.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.93 / $41.26 / $59.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.80 / $95.68 / $187.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.34 / $56.34 / $150.13
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.68 / $78.15 / $78.15
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.15 / $78.15 / $78.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $52.33 / $71.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.80 / $211.05 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $69.41 / $168.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $30.30 / $30.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $56.39 / $67.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $55.88 / $141.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.07 / $125.07 / $125.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $50.40 / $85.99
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.39 / $56.39 / $58.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $56.39 / $59.91