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New York rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $78 · 10th–90th $52$2240%20%10th90th$78Professionalmedian $62 · 10th–90th $47$1700%20%40%10th90th$62$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
$40.74 / $97.72 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $194.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $100.00 / $100.00
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $120.23
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $123.03 / $234.42
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $56.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $72.44 / $77.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $58.88 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $79.43 / $204.17
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $72.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $72.44 / $77.62