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New York rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Facilitymedian $355 · 10th–90th $186$7940%10%20%10th90th$355Professionalmedian $229 · 10th–90th $162$6030%20%10th90th$229$0.5$5.0$50.0$500.0$5.0K$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
$158.49 / $346.74 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $691.83
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $354.81 / $354.81
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $467.74
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $724.44 / $1,659.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $831.76
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $371.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $275.42 / $354.81
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $275.42 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $281.84 / $724.44
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $269.15 / $371.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $275.42 / $354.81