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New York rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.52 / $74.64 / $83.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.79 / $83.03 / $88.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $157.91 / $371.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $56.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $18.18 / $18.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.18 / $18.18 / $18.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $18.18 / $106.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $58.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $93.18 / $158.16
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.31 / $107.31 / $107.31
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $18.18 / $106.97