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New York rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Facilitymedian $2,188 · 10th–90th $1,318$5,6230%20%10th90th$2,188Professionalmedian $1,738 · 10th–90th $1,288$4,0740%20%40%10th90th$1,738$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,122.02 / $2,454.71 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,584.89 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $6,165.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,737.80 / $4,570.88
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,511.89 / $2,511.89
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $3,801.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,128.61 / $12,022.64
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,090.30 / $5,888.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,737.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,819.70 / $1,949.84
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,951.21 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,089.30 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,995.26 / $5,248.07
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,819.70 / $1,905.46
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,819.70 / $1,949.84