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New York rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $22.15 / $34.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $16.04 / $34.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $24.24 / $24.24
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.24 / $24.24 / $24.24
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.24 / $24.24 / $24.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $74.52
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.24 / $24.24 / $24.24