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New York rates for HCPCS L5655

Addition to lower extremity, socket insert, below knee (BK) (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $331 · 10th–90th $178–$6920%20%10th90th$331Professionalmedian $209 · 10th–90th $155–$5500%20%10th90th$209$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$151.36 / $331.13 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $177.83 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $208.93 / $588.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $338.84 / $338.84
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $407.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $691.83 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $794.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $223.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $245.47 / $263.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $239.88 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $257.04 / $676.08
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $245.47 / $257.04
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $245.47 / $263.03