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New York rates for HCPCS L5781

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system

Facilitymedian $3,802 · 10th–90th $2,042$8,7100%20%10th90th$3,802Professionalmedian $2,884 · 10th–90th $2,042$6,4570%20%40%10th90th$2,884$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
$1,737.80 / $3,801.89 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,344.23 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,019.95 / $7,585.78
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,890.45 / $3,890.45
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $5,623.41
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,943.28 / $18,620.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,786.30 / $9,120.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,890.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,019.95 / $3,715.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,570.88 / $4,570.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,235.94 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,162.28 / $7,762.47
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,162.28 / $3,890.45
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,019.95 / $3,715.35