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New York rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,380.38 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $2,951.21
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,445.44 / $1,445.44
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,090.30 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,905.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,884.03 / $6,760.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,949.84 / $3,388.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $954.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,096.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,698.24 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,479.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,071.52
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,096.48