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New York rates for HCPCS L5780

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

Facilitymedian $1,072 · 10th–90th $603$2,5120%20%10th90th$1,072Professionalmedian $832 · 10th–90th $603$2,0420%20%10th90th$832$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
$501.19 / $1,096.48 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $2,818.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $2,398.83
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,148.15 / $1,148.15
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,862.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,290.87 / $5,370.32
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,412.54 / $2,691.53
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $630.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $831.76 / $870.96
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,348.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,023.29 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $912.01 / $2,344.23
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $794.33 / $831.76
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $831.76 / $870.96