go back

New York rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Facilitymedian $1,622 · 10th–90th $912$3,8900%20%10th90th$1,622Professionalmedian $1,288 · 10th–90th $912$3,1620%20%10th90th$1,288$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
$776.25 / $1,698.24 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,047.13 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $4,265.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $3,630.78
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,778.28 / $1,778.28
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $2,511.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,548.13 / $8,317.64
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,137.96 / $4,073.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,412.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,348.96 / $1,348.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,041.74 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,445.44 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,412.54 / $3,630.78
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,318.26 / $1,412.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,348.96 / $1,348.96