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New York rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.90 / $236.73 / $438.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.90 / $236.73 / $342.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.96 / $554.84 / $1,087.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.30 / $296.30 / $838.41
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.48 / $453.20 / $453.20
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.20 / $453.20 / $453.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $305.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $223.04 / $305.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $543.96 / $1,223.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.94 / $407.97 / $979.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.46 / $412.46 / $412.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.02 / $347.47 / $453.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.96 / $543.96 / $543.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $305.54 / $810.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.92 / $325.26 / $488.98
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.02 / $327.02 / $339.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.02 / $327.02 / $412.46