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New York rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Facilitymedian $123 · 10th–90th $69$2950%10%20%10th90th$123Professionalmedian $95 · 10th–90th $69$2400%20%10th90th$95$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$57.54 / $128.82 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $91.20 / $134.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $275.42
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $131.83 / $131.83
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $186.21
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $269.15 / $630.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $309.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $79.43
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $95.50 / $102.33
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $120.23 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $107.15 / $269.15
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $95.50
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $95.50 / $102.33