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New York rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.28 / $54.31 / $283.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.28 / $56.86 / $164.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.70 / $102.71 / $201.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.34 / $61.34 / $163.47
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.03 / $83.90 / $83.90
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.90 / $83.90 / $83.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $73.06
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.70 / $226.58 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $84.59 / $183.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.24 / $61.88 / $83.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.69 / $81.69 / $81.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $73.06 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $52.20 / $136.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $54.19 / $92.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.24 / $58.24 / $62.92
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.24 / $58.24 / $61.88