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New York rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $41.69 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $30.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.12 / $25.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $17.38 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $20.42 / $37.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.99 / $26.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $25.12