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New York rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $43.65 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.59 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.70 / $48.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $23.99 / $23.99
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $51.29 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $28.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $48.98 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $31.62 / $57.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $19.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $18.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.18 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $41.69 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.79 / $24.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $18.20 / $19.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $18.20