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New York rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.00 / $173.85 / $321.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $181.32 / $251.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.47 / $407.46 / $798.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $222.79 / $619.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.52 / $332.82 / $332.82
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.82 / $332.82 / $332.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $291.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $399.47 / $898.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.28 / $287.62 / $719.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.50 / $252.50 / $252.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.17 / $252.50 / $303.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $237.99 / $595.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.18 / $184.46 / $211.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.86 / $210.36 / $365.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.17 / $240.17 / $249.57
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.17 / $240.17 / $255.17