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New York rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.09 / $18.66 / $20.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $20.70 / $22.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $67.64 / $158.94
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $50.50 / $50.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.50 / $50.50 / $50.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $50.50 / $50.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $23.23 / $39.43
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.97 / $26.97 / $26.97
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $50.50 / $50.50