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New York rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $831.76 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $2,137.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,819.70
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $870.96 / $870.96
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,905.46 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,148.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $4,073.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $2,041.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $776.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $660.69 / $741.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $794.33 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $549.54 / $891.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $645.65 / $776.25
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $660.69 / $741.31