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New York rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $331.13 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $269.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $190.55 / $602.56
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $338.84 / $338.84
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $537.03 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $398.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $691.83 / $1,584.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $436.52 / $794.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $323.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $309.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $239.88 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $213.80 / $338.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $257.04 / $323.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $309.03