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New York rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.94 / $21.87 / $24.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $24.38 / $25.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.47 / $41.47 / $97.45
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.24 / $30.30 / $30.30
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $30.30 / $30.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $31.99 / $33.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $27.36 / $46.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $31.99 / $31.99
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $31.99 / $33.99