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New York rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $20.83 / $38.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $20.91 / $30.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $48.83 / $95.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.70 / $26.70 / $74.37
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.10 / $39.89 / $39.89
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.89 / $39.89 / $39.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $27.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $107.71 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $35.42 / $86.17
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.97 / $29.71 / $39.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $71.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $24.78 / $43.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $27.97 / $27.97
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.97 / $27.97 / $36.29