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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
$14.30 / $16.45 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $18.39 / $19.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $39.11 / $91.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $25.25 / $25.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.25 / $25.25 / $25.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $25.24 / $25.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $28.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $20.83 / $38.07
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $23.76 / $23.76
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $23.76 / $25.25