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New York rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.71 / $713.73 / $1,321.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.71 / $748.54 / $1,034.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.08 / $1,672.88 / $3,280.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.90 / $902.90 / $2,528.12
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.77 / $1,366.42 / $1,366.42
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.42 / $1,366.42 / $1,366.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $1,232.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,640.08 / $3,690.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.89 / $1,230.06 / $2,952.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.23 / $932.23 / $932.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.23 / $986.02 / $1,176.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.33 / $1,330.33 / $1,330.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,232.20 / $1,640.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $977.12 / $2,443.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.48 / $984.05 / $1,476.66
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.02 / $986.02 / $1,024.67
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.23 / $986.02 / $1,047.65