go back

New York rates for HCPCS L5600

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model

Facilitymedian $4,677 · 10th–90th $2,570–$10,7150%20%10th90th$4,677Professionalmedian $3,236 · 10th–90th $2,344–$8,5110%20%10th90th$3,236$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$2,187.76 / $4,786.30 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,019.95 / $4,677.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $9,772.37
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,897.79 / $4,897.79
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $7,244.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,000.00 / $22,908.68
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,025.60 / $11,481.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $4,168.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,801.89 / $3,890.45
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,754.40 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,981.07 / $16,218.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,890.45 / $10,000.00
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,715.35 / $4,168.69
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,801.89 / $3,890.45