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New York rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.16 / $66.67 / $123.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $66.94 / $96.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.19 / $156.26 / $306.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.59 / $84.59 / $236.85
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.71 / $127.64 / $127.64
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.64 / $127.64 / $127.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $99.06
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.19 / $319.00 / $344.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.11 / $113.37 / $275.76
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.06 / $93.06 / $93.06
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.12 / $93.06 / $111.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $94.69 / $227.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.96 / $81.37 / $140.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.12 / $92.12 / $102.38
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.12 / $92.12 / $97.87