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New York rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $32.36 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $28.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $102.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $35.48 / $44.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $37.15
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $35.48 / $35.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $50.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $28.84 / $51.29
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $30.90 / $37.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $35.48