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New York rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.90 / $35.65 / $66.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.90 / $42.32 / $51.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.95 / $83.59 / $163.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $45.68 / $127.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $68.28 / $68.28
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.28 / $68.28 / $68.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $54.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.95 / $184.39 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.35 / $62.14 / $147.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.14 / $62.14 / $62.14
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $52.34 / $68.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $48.80 / $122.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $42.49 / $74.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.27 / $49.27 / $51.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $49.27 / $62.14