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New York rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Facilitymedian $1,000 · 10th–90th $550$2,2910%10%20%10th90th$1,000Professionalmedian $708 · 10th–90th $501$1,8620%20%10th90th$708$1.0$10.0$100.0$1.0K$10.0K

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
$457.09 / $1,000.00 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $630.96 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $2,570.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $2,089.30
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,047.13 / $1,047.13
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,621.81
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,089.30 / $4,897.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,288.25 / $2,454.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $933.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $794.33 / $891.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $831.76 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $831.76 / $2,137.96
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $776.25 / $933.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $794.33 / $891.25