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New York rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Facilitymedian $3,467 · 10th–90th $2,188–$9,3330%20%10th90th$3,467Professionalmedian $2,630 · 10th–90th $1,862–$6,9180%20%40%10th90th$2,630$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$1,862.09 / $4,073.80 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,290.87 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,630.27 / $7,413.10
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,265.80 / $4,265.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $5,370.32
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,511.38 / $19,952.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $5,128.61 / $9,772.37
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $3,019.95
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,090.30 / $3,235.94
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,011.87 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,162.28 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,235.94 / $8,511.38
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,090.30 / $3,162.28
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,090.30 / $3,235.94