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New York rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.76 / $702.27 / $1,017.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.76 / $324.58 / $445.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.23 / $721.37 / $1,414.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.31 / $350.31 / $1,068.44
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.97 / $589.22 / $589.22
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.22 / $589.22 / $589.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $372.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $707.23 / $1,591.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.30 / $530.41 / $1,273.01
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.37 / $500.37 / $500.37
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.19 / $451.75 / $589.22
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.64 / $573.64 / $573.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $707.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $324.85 / $850.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.22 / $365.98 / $609.57
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.19 / $425.19 / $441.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.19 / $425.19 / $500.37