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New York rates for HCPCS L3010

Foot insert, removable, molded to patient model, longitudinal arch support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $165.96 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $112.20 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $354.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $169.82 / $169.82
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $331.13 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $218.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $346.74 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $218.78 / $407.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $120.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $125.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $218.78 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $104.71 / $177.83
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $120.23 / $138.04
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $125.89