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New York rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $354.81 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $707.95
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $371.54 / $371.54
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $660.69 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $446.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $741.31 / $1,737.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $870.96
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $354.81
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $281.84 / $338.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $275.42 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $229.09 / $371.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $275.42 / $354.81
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $281.84 / $338.84