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New York rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.99 / $598.01 / $1,106.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.99 / $639.89 / $866.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.17 / $1,401.65 / $2,748.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.51 / $839.51 / $2,237.29
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.74 / $1,144.88 / $1,144.88
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.88 / $1,144.88 / $1,144.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,036.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $756.53 / $1,036.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,374.17 / $3,091.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.58 / $1,030.63 / $2,473.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.98 / $603.98 / $603.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.98 / $826.16 / $985.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,036.33 / $1,374.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $818.69 / $2,047.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.04 / $848.75 / $1,256.85
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.16 / $826.16 / $858.53
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.98 / $826.16 / $877.79