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New York rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.16 / $989.62 / $1,831.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.16 / $993.59 / $1,433.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,274.06 / $2,319.54 / $4,548.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.07 / $1,250.07 / $3,504.94
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.99 / $1,894.61 / $1,894.61
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.61 / $1,894.61 / $1,894.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $1,300.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,274.06 / $5,116.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.24 / $1,682.80 / $4,093.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.30 / $1,449.30 / $1,449.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.16 / $1,449.30 / $1,739.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,300.55 / $2,274.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $1,300.55 / $3,524.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.33 / $1,134.50 / $2,079.91
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.16 / $1,367.16 / $1,449.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.16 / $1,367.16 / $1,452.61