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New York rates for HCPCS L1860

Knee orthosis (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)

Facilitymedian $933 · 10th–90th $617$2,6920%10%20%10th90th$933Professionalmedian $741 · 10th–90th $550$1,9950%20%10th90th$741$1.0$10.0$100.0$1.0K$10.0K

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
$501.19 / $1,174.90 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $645.65 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $2,344.23
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,230.27 / $1,230.27
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $1,778.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,454.71 / $5,754.40
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,513.56 / $2,884.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $660.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $891.25 / $933.25
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,445.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $707.95 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $933.25 / $2,454.71
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $851.14 / $891.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $891.25 / $933.25