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New York rates for HCPCS L5560

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Facilitymedian $1,905 · 10th–90th $1,175$5,0120%20%10th90th$1,905Professionalmedian $1,413 · 10th–90th $1,047$3,8020%20%10th90th$1,413$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
$1,000.00 / $2,187.76 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,348.96 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $4,570.88
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,290.87 / $2,290.87
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $3,235.94
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,570.88 / $10,715.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,754.23 / $5,248.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,698.24
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,621.81 / $1,737.80
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,691.53 / $2,691.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,737.80 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,778.28 / $4,570.88
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,621.81 / $1,698.24
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,621.81 / $1,737.80