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New York rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.22 / $154.96 / $286.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.22 / $154.96 / $193.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.81 / $226.25 / $443.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.68 / $197.68 / $526.80
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.51 / $267.20 / $267.20
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.20 / $267.20 / $267.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $214.95
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.81 / $332.00 / $499.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $183.87 / $399.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.85 / $186.85 / $186.85
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.85 / $205.93 / $235.68
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.19 / $125.19 / $125.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $212.17 / $333.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.43 / $180.29 / $300.49
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.93 / $205.93 / $222.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.85 / $205.93 / $218.80