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New York rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $407.38 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $295.12 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $812.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $426.58 / $426.58
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $691.83 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $501.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,995.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $549.54 / $1,000.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $316.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $309.03 / $323.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $302.00 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $426.58
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $309.03 / $316.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $309.03 / $323.59