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New York rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Facilitymedian $347 · 10th–90th $204$8510%20%10th90th$347Professionalmedian $229 · 10th–90th $170$6310%20%40%10th90th$229$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
$169.82 / $380.19 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $204.17 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $229.09 / $660.69
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $389.05 / $389.05
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $467.74
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $794.33 / $1,819.70
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $912.01
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $302.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $288.40 / $302.00
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $457.09 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $275.42 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $288.40 / $776.25
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $288.40 / $302.00
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $288.40 / $302.00