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New York rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $95.50 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $107.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $181.97
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $97.72 / $97.72
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $190.55 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $120.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $199.53 / $467.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $125.89 / $234.42
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $75.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $72.44 / $74.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $125.89 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $60.26 / $102.33
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $69.18 / $75.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $72.44 / $74.13