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New York rates for HCPCS L5678

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $38.02 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $29.51 / $77.62
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $39.81 / $39.81
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $87.10 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $47.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $79.43 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $51.29 / $93.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.84 / $30.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $46.77 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $52.48 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $25.70 / $39.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $28.84 / $29.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.84 / $30.20