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New York rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.42 / $54.98 / $101.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.42 / $64.97 / $79.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.34 / $128.87 / $252.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $80.98 / $212.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $105.26 / $105.26
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.26 / $105.26 / $105.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $89.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $65.11 / $89.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.34 / $284.27 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $94.76 / $227.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.65 / $65.65 / $65.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $75.95 / $90.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.47 / $102.47 / $102.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $75.25 / $188.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $78.16 / $115.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.95 / $75.95 / $78.91
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $75.95 / $80.69