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New York rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Facilitymedian $1,479 · 10th–90th $724$3,4670%10%20%10th90th$1,479Professionalmedian $1,122 · 10th–90th $813$2,8180%20%10th90th$1,122$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$691.83 / $1,513.56 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $3,801.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $3,235.94
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,548.82 / $1,548.82
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $2,818.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,162.28 / $7,244.36
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,905.46 / $3,630.78
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $776.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,122.02 / $1,202.26
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,819.70 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,412.54 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,230.27 / $3,090.30
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,071.52 / $1,122.02
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,122.02 / $1,202.26