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New York rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Facilitymedian $3,311 · 10th–90th $1,820$7,5860%20%10th90th$3,311Professionalmedian $2,138 · 10th–90th $1,514$5,7540%20%10th90th$2,138$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
$1,513.56 / $3,311.31 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,862.09 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $6,760.83
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,467.37 / $3,467.37
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $4,168.69
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $6,918.31 / $16,218.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,265.80 / $7,943.28
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,235.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,630.27 / $3,019.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,388.44
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,073.80 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,570.40 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,630.27 / $6,918.31
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,570.40 / $3,235.94
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,630.27 / $3,019.95