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New York rates for HCPCS L1906

Ankle foot orthosis (AFO), multiligamentous ankle support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.58 / $59.55 / $143.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.58 / $81.37 / $148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.84 / $139.58 / $273.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $82.18 / $219.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.03 / $114.01 / $114.01
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.01 / $114.01 / $114.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $112.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.84 / $294.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $102.63 / $246.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.75 / $75.75 / $75.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.75 / $79.12 / $98.13
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.24 / $49.24 / $49.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.99 / $110.99 / $110.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.85 / $81.70 / $174.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.51 / $76.01 / $125.16
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.12 / $79.12 / $85.49
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.75 / $79.12 / $84.06