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New York rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.69 / $371.59 / $687.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.69 / $371.59 / $538.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.88 / $870.96 / $1,707.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.02 / $375.02 / $1,247.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.60 / $711.40 / $711.40
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.40 / $711.40 / $711.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $292.12 / $400.16
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $853.88 / $1,921.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.91 / $614.79 / $1,536.98
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.62 / $365.62 / $365.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.62 / $513.36 / $612.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $853.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $1,164.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.88 / $853.88 / $853.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.99 / $425.99 / $768.49
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.36 / $513.36 / $533.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.62 / $513.36 / $545.44