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New York rates for HCPCS L4394

Replace Soft Interface Material, Foot Drop Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $8.77 / $16.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $9.22 / $12.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.18 / $20.58 / $40.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $11.78 / $32.01
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.63 / $16.80 / $16.80
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $16.80 / $16.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.18 / $45.41 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $15.14 / $36.32
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $14.28 / $14.28
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $12.89 / $16.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.47 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $9.11 / $9.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $10.44 / $18.46
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $12.14 / $12.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $12.14 / $14.28