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New York rates for HCPCS L5590

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

Facilitymedian $2,570 · 10th–90th $1,380–$5,8880%10%20%10th90th$2,570Professionalmedian $1,820 · 10th–90th $1,318–$4,3650%20%40%10th90th$1,820$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
$1,174.90 / $2,570.40 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,621.81 / $2,691.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $6,606.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,819.70 / $4,786.30
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,691.53 / $2,691.53
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $4,073.80
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $5,370.32 / $12,589.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,235.94 / $6,165.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,290.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,041.74 / $2,187.76
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,162.28 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,187.76 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,137.96 / $5,370.32
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,995.26 / $2,290.87
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,041.74 / $2,187.76