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New York rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.90 / $303.04 / $560.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.90 / $361.78 / $439.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.36 / $710.29 / $1,392.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.80 / $401.80 / $1,104.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.55 / $580.16 / $580.16
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.16 / $580.16 / $580.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $410.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $696.36 / $1,566.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.56 / $522.27 / $1,253.45
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.45 / $499.45 / $499.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.65 / $444.81 / $580.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $696.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $1,037.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.60 / $417.82 / $626.98
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.65 / $418.65 / $435.05
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.65 / $418.65 / $499.45