go back

New York rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Facilitymedian $1,148 · 10th–90th $631$2,6300%20%10th90th$1,148Professionalmedian $891 · 10th–90th $631$2,1380%20%40%10th90th$891$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
$524.81 / $1,148.15 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $831.76 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $2,511.89
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,202.26 / $1,202.26
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,995.26
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,398.83 / $5,623.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,479.11 / $2,818.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,071.52
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $912.01 / $1,023.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,412.54 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,071.52 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $954.99 / $2,454.71
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $891.25 / $1,071.52
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $912.01 / $1,023.29