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New York rates for HCPCS L4002

Replacement strap, any orthosis, includes all components, any length, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $56.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $26.86 / $63.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $30.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $20.20 / $20.20
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 / $23.00 / $23.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $28.80 / $40.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $32.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $43.87 / $43.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $23.00 / $29.82
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $23.00 / $23.00