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New York rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $26.30 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $27.54 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.12 / $25.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $8.71 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.23 / $19.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.38 / $26.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $25.12