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New York rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $24.08 / $44.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $26.37 / $34.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.34 / $56.45 / $110.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $30.80 / $85.76
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.87 / $46.10 / $46.10
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.10 / $46.10 / $46.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $31.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.34 / $124.52 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $41.51 / $99.61
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.96 / $41.96 / $41.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.31 / $34.33 / $46.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $72.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.03 / $25.04 / $29.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $28.64 / $50.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.58 / $32.31 / $32.31
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.31 / $32.31 / $41.96