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New York rates for HCPCS L5638

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

Facilitymedian $562 · 10th–90th $302$1,2880%20%10th90th$562Professionalmedian $355 · 10th–90th $263$9550%20%10th90th$355$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
$257.04 / $562.34 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $309.03 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $1,148.15
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $588.84 / $588.84
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $912.01
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,174.90 / $2,754.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $724.44 / $1,348.96
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $489.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $446.68 / $467.74
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $436.52 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $446.68 / $1,174.90
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $436.52 / $489.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $446.68 / $467.74