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New York rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $26.05 / $48.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $27.73 / $37.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $61.04 / $119.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $92.78
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.37 / $49.86 / $49.86
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.86 / $49.86 / $49.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $36.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $134.63 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.91 / $44.28 / $107.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $36.31 / $43.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.55 / $48.55 / $48.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.71 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $34.22 / $78.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $29.86 / $54.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $34.61 / $34.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $34.61 / $36.77