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New York rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Facilitymedian $40 · 10th–90th $22$930%20%10th90th$40Professionalmedian $28 · 10th–90th $21$740%20%40%10th90th$28$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $40.74 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $36.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $85.11
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $42.66
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $61.66
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $85.11 / $199.53
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $97.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $32.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.90 / $31.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.88 / $85.11
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $29.51 / $32.36
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.90 / $31.62