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New York rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.84 / $267.44 / $495.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.84 / $339.31 / $398.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.54 / $626.84 / $1,229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.72 / $373.72 / $995.96
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.17 / $512.01 / $512.01
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.01 / $512.01 / $512.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $452.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $614.54 / $1,382.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.33 / $460.91 / $1,106.19
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.50 / $353.50 / $353.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.50 / $369.47 / $440.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $614.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $366.13 / $915.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.40 / $819.40 / $819.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $380.21 / $544.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.47 / $369.47 / $383.95
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.50 / $369.47 / $392.56