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New York rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Facilitymedian $490 · 10th–90th $263$1,1220%10%20%10th90th$490Professionalmedian $324 · 10th–90th $240$8710%20%10th90th$324$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $489.78 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $288.40 / $416.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $1,000.00
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $501.19 / $501.19
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $660.69
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,023.29 / $2,398.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $616.60 / $1,174.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $478.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $389.05 / $457.09
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $588.84 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $1,584.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $398.11 / $1,023.29
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $380.19 / $478.63
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $389.05 / $457.09