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New York rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $26.05 / $48.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $26.15 / $37.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $61.04 / $119.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $92.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.37 / $49.86 / $49.86
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.86 / $49.86 / $49.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $134.63 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.91 / $44.28 / $107.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.20 / $20.20 / $20.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $34.96 / $42.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $88.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $30.75 / $54.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $34.96 / $34.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $34.96 / $37.14