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New York rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Facilitymedian $1,514 · 10th–90th $912$3,8900%20%10th90th$1,514Professionalmedian $1,047 · 10th–90th $794$2,9510%20%10th90th$1,047$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
$776.25 / $1,698.24 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,000.00 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $4,265.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $3,388.44
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,737.80 / $1,737.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $2,187.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,548.13 / $8,317.64
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,137.96 / $4,073.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,318.26
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,348.96
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,041.74 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,288.25 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,348.96 / $3,630.78
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,318.26
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,348.96