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New York rates for HCPCS L5639

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

Facilitymedian $1,072 · 10th–90th $603$3,1620%10%20%10th90th$1,072Professionalmedian $813 · 10th–90th $603$2,3990%20%10th90th$813$1.0$10.0$100.0$1.0K$10.0K

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
$630.96 / $1,380.38 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $741.31 / $1,174.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $3,467.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $2,754.23
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,412.54 / $1,412.54
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $1,698.24
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,884.03 / $6,760.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,737.80 / $3,311.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $630.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,023.29 / $1,096.48
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,659.59 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,000.00 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,096.48 / $2,818.38
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $977.24 / $1,023.29
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,023.29 / $1,096.48