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New York rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Facilitymedian $3,467 · 10th–90th $1,862$7,7620%20%10th90th$3,467Professionalmedian $2,512 · 10th–90th $1,862$5,8880%20%10th90th$2,512$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
$1,548.82 / $3,467.37 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,238.72 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,570.40 / $6,760.83
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,548.13 / $3,548.13
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $5,495.41
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,244.36 / $16,595.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,365.16 / $8,317.64
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,388.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,691.53 / $3,235.94
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,168.69 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,090.30 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,818.38 / $7,244.36
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,630.27 / $3,388.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,691.53 / $3,235.94