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New York rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.58 / $49.32 / $91.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $49.32 / $71.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.33 / $115.60 / $226.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.90 / $62.90 / $175.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.81 / $94.42 / $94.42
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.42 / $94.42 / $94.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $75.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $55.09 / $75.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.33 / $254.99 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.52 / $81.59 / $203.99
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.23 / $72.23 / $72.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.13 / $72.23 / $86.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $67.52 / $168.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.69 / $60.10 / $103.65
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.13 / $68.13 / $70.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.13 / $68.13 / $72.39