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New York rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Facilitymedian $692 · 10th–90th $331$1,6220%20%10th90th$692Professionalmedian $537 · 10th–90th $380$1,2020%20%40%10th90th$537$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
$323.59 / $707.95 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $467.74 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $549.54 / $1,412.54
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $724.44 / $724.44
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $1,096.48
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,479.11 / $3,467.37
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $891.25 / $1,698.24
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $346.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $524.81 / $562.34
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $851.14 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $660.69 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $588.84 / $1,479.11
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $524.81
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $524.81 / $562.34