go back

New York rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Facilitymedian $107 · 10th–90th $24$2400%20%10th90th$107Professionalmedian $79 · 10th–90th $58$1950%20%10th90th$79$0.1$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
$44.67 / $107.15 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $69.18 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $229.09
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $109.65 / $109.65
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $173.78
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $524.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $134.90 / $257.04
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $25.70
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $79.43 / $85.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $128.82 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $74.13 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $89.13 / $223.87
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $75.86 / $79.43
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $79.43 / $85.11