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New York rates for HCPCS L5822

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

Facilitymedian $2,042 · 10th–90th $1,096$4,6770%10%20%10th90th$2,042Professionalmedian $1,230 · 10th–90th $912$3,5480%20%10th90th$1,230$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$933.25 / $2,041.74 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,096.48 / $1,778.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $5,128.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $4,073.80
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,089.30 / $2,089.30
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $2,511.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,265.80 / $10,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,570.40 / $4,897.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,995.26
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,621.81 / $1,905.46
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,454.71 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,548.82 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,659.59 / $4,265.80
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,584.89 / $1,995.26
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,621.81 / $1,905.46