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New York rates for HCPCS L5701

Replacement, socket, above knee (AK)/knee disarticulation, including attachment plate, molded to patient model

Facilitymedian $3,311 · 10th–90th $1,820–$7,5860%20%10th90th$3,311Professionalmedian $2,455 · 10th–90th $1,820–$5,6230%20%10th90th$2,455$5.0$20.0$100.0$500.0$2.0K$10.0K$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
$1,513.56 / $3,311.31 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,187.76 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,570.40 / $6,606.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,467.37 / $3,467.37
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $5,370.32
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $6,918.31 / $16,218.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,265.80 / $8,128.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,090.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,630.27 / $2,951.21
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,388.44
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,073.80 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,090.30 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,754.23 / $7,079.46
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,570.40 / $3,090.30
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,630.27 / $2,951.21