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New York rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Facilitymedian $759 · 10th–90th $417$1,7780%10%20%10th90th$759Professionalmedian $603 · 10th–90th $407$1,4450%20%10th90th$603$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
$354.81 / $776.25 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $501.19 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,949.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,659.59
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $794.33 / $794.33
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $1,348.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,621.81 / $3,715.35
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $977.24 / $1,862.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $446.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $575.44 / $616.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,862.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $933.25 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $724.44 / $2,754.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $630.96 / $1,621.81
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $549.54 / $575.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $575.44 / $616.60