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New York rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $489.78 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $1,047.13
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $501.19 / $501.19
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,071.52 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $602.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $2,398.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $645.65 / $1,202.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $446.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $389.05 / $426.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $478.63 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $323.59 / $512.86
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $380.19 / $446.68
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $389.05 / $426.58