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New York rates for HCPCS L5782

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

Facilitymedian $3,981 · 10th–90th $2,138$9,1200%10%20%10th90th$3,981Professionalmedian $2,884 · 10th–90th $2,188$6,7610%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
$1,819.70 / $3,981.07 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,511.89 / $3,981.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,884.03 / $7,413.10
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,168.69 / $4,168.69
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $5,888.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $19,498.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,011.87 / $9,549.93
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $4,073.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,162.28 / $3,890.45
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
$3,311.31 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,388.44 / $13,803.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,311.31 / $8,317.64
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,019.95 / $4,073.80
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,162.28 / $3,890.45