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Heel, Thomas with Wedge

New York rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$38.02

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $39.81 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.02$33.88 to $54.95
FacilityA hospital or hospital-owned outpatient department$39.81$30.20 to $70.79

How much rates vary

Facilitymedian $40 · 10th to 90th $5 to $105Professionalmedian $38 · 10th to 90th $29 to $102
$10$100$1K$10Kfacility $40professional $38

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$33.11
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$117.49
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$57.54
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$40.74
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$269.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$134.90
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.79
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$39.81
Typical High
$42.66
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$36.31
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$45.71
Typical High
$117.49
Univera
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$37.15
Typical High
$39.81
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$39.81
Typical High
$42.66

Where New York sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 27th of 51

$38.02

MN $70.79DC $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.