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New York rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.27 / $287.95 / $692.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.27 / $289.12 / $417.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.72 / $674.95 / $1,323.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.47 / $396.47 / $1,056.58
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.71 / $551.29 / $551.29
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.29 / $551.29 / $551.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $306.22 / $419.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $661.72 / $1,488.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.54 / $489.67 / $1,191.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.18 / $468.18 / $468.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.82 / $422.69 / $551.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.73 / $536.73 / $794.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $661.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $408.97 / $982.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.08 / $349.20 / $661.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.82 / $397.82 / $442.14
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.82 / $397.82 / $468.18