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New York rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $47.86 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $138.04
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $120.23 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $89.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $47.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $75.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $50.12 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $109.65
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $69.18 / $70.79
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $75.86