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New York rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $316.23 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $257.04 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $676.08
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $331.13 / $331.13
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $588.84 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $398.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $660.69 / $1,548.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $446.68 / $776.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $239.88 / $251.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $776.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $263.03 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $331.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $239.88 / $245.47
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $239.88 / $251.19