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New York rates for HCPCS L5321

Above knee (AK), molded socket, open end, SACH foot, endoskeletal system, single axis knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,162.28 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $3,630.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $7,079.46
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,311.31 / $3,311.31
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,244.36 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $3,981.07
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $6,606.93 / $15,488.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,265.80 / $7,762.47
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,951.21
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,511.89 / $2,818.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,890.45 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,570.88 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $3,311.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,630.27 / $2,951.21
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,511.89 / $2,818.38