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New York rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $113.51 / $210.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.80 / $150.75 / $167.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.83 / $266.06 / $521.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.80 / $157.80 / $420.53
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.11 / $217.32 / $217.32
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.32 / $217.32 / $217.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $190.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $139.27 / $190.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.83 / $332.00 / $586.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.69 / $195.63 / $469.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.95 / $95.95 / $95.95
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.95 / $156.81 / $187.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.57 / $211.57 / $211.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $155.38 / $388.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $150.38 / $231.80
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.81 / $156.81 / $162.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.95 / $156.81 / $166.61