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New York rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $67.69 / $125.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $67.95 / $98.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.55 / $158.66 / $311.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $241.06
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.52 / $129.59 / $129.59
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.59 / $129.59 / $129.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $64.94 / $88.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.55 / $319.00 / $349.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.77 / $115.19 / $279.99
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.19 / $115.19 / $115.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.84 / $96.51 / $129.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $205.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $80.48 / $142.37
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.14 / $90.84 / $90.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.84 / $90.84 / $115.19