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New York rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Facilitymedian $38 · 10th–90th $20$870%20%10th90th$38Professionalmedian $29 · 10th–90th $20$660%20%40%10th90th$29$0.1$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
$16.98 / $38.02 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $29.51 / $75.86
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $39.81
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $54.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $79.43 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $48.98 / $93.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $26.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.84 / $30.20
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $46.77 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $35.48 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $31.62 / $81.28
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $28.84 / $29.51
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.84 / $30.20