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New York rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Facilitymedian $575 · 10th–90th $316$1,3490%20%10th90th$575Professionalmedian $447 · 10th–90th $316$1,0720%20%40%10th90th$447$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
$269.15 / $588.84 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $398.11 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $1,258.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $616.60 / $616.60
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $912.01
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,230.27 / $2,884.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $741.31 / $1,412.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $478.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $457.09 / $467.74
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $549.54 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $489.78 / $1,230.27
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $457.09 / $478.63
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $457.09 / $467.74