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New York rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $46.81 / $86.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $51.21 / $67.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.76 / $82.76 / $82.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.55 / $109.70 / $215.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $57.96 / $165.78
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.34 / $89.61 / $89.61
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.61 / $89.61 / $89.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.55 / $241.99 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.54 / $80.66 / $193.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.04 / $54.04 / $54.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $64.66 / $77.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $138.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.77 / $55.72 / $96.80
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.66 / $64.66 / $67.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $64.66 / $68.70