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New York rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.74 / $166.95 / $338.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $195.32 / $468.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.43 / $447.43 / $450.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.62 / $330.09 / $647.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.09 / $216.09 / $561.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.76 / $269.63 / $269.63
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.63 / $269.63 / $269.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $291.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $156.34 / $291.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $346.00 / $728.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.94 / $271.83 / $589.64
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.66 / $217.45 / $269.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.00 / $315.00 / $315.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.50 / $283.50 / $283.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $291.73 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $193.39 / $416.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.63 / $154.24 / $165.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.64 / $174.91 / $296.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.66 / $204.66 / $204.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.66 / $204.66 / $217.45