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New York rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $1,023 · 10th–90th $562$2,3440%10%20%10th90th$1,023Professionalmedian $794 · 10th–90th $575$1,9050%20%10th90th$794$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
$467.74 / $1,047.13 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $758.58 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $2,238.72
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,071.52 / $1,071.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,479.11
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,187.76 / $5,011.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,318.26 / $2,511.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $616.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $776.25 / $831.76
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,258.93 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $977.24 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $851.14 / $2,187.76
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $691.83 / $776.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $776.25 / $831.76