go back

New York rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,051.35 / $2,429.21 / $4,496.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.35 / $2,704.26 / $3,519.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,582.09 / $5,693.73 / $11,164.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,643.96 / $3,643.96 / $9,386.75
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,325.14 / $4,650.68 / $4,650.68
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,650.68 / $4,650.68 / $4,650.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,052.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $2,958.13 / $4,052.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $5,582.09 / $12,559.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,882.41 / $4,186.57 / $10,047.76
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,556.31 / $2,556.31 / $2,556.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.31 / $3,355.99 / $4,002.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,527.83 / $4,527.83 / $4,527.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $4,052.23 / $5,582.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $3,450.01 / $8,317.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.56 / $3,387.78 / $5,105.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,355.99 / $3,355.99 / $3,729.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.31 / $3,355.99 / $3,565.74