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New York rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.31 / $1,102.86 / $2,041.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.31 / $1,102.86 / $1,597.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,534.28 / $2,584.96 / $5,068.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.91 / $1,242.91 / $3,790.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.62 / $2,111.42 / $2,111.42
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.42 / $2,111.42 / $2,111.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $998.51 / $1,367.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,534.28 / $5,702.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.23 / $1,921.65 / $4,561.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.65 / $1,921.65 / $1,921.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.61 / $1,618.85 / $2,111.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,367.82 / $2,534.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $3,064.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1,347.44 / $1,347.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.88 / $1,459.20 / $2,317.92
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.61 / $1,523.61 / $1,583.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.61 / $1,523.61 / $1,921.65