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New York rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.04 / $709.40 / $1,313.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.04 / $804.07 / $1,027.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.12 / $1,662.72 / $3,260.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.06 / $979.06 / $2,609.19
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.06 / $1,358.13 / $1,358.13
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.13 / $1,358.13 / $1,358.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $1,018.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,630.12 / $3,667.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.66 / $1,222.58 / $2,934.22
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.33 / $1,153.33 / $1,153.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.04 / $1,041.29 / $1,358.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,018.60 / $1,630.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $999.17 / $2,570.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $978.07 / $1,490.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.04 / $980.04 / $1,018.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.04 / $980.04 / $1,153.33