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New York rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $21.47 / $23.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $23.92 / $25.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.26 / $50.26 / $113.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $30.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $35.35 / $35.35
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.35 / $35.35 / $35.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $33.38 / $35.35
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $30.29 / $135.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $26.84 / $44.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.86 / $31.42 / $31.42
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $31.42 / $35.35