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New York rates for HCPCS L5845

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.10 / $919.06 / $1,701.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.10 / $931.70 / $1,331.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,111.91 / $2,154.15 / $4,223.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.05 / $1,300.05 / $3,464.63
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.35 / $1,759.52 / $1,759.52
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.52 / $1,759.52 / $1,759.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $1,207.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $881.72 / $1,207.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,111.91 / $4,751.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.52 / $1,562.81 / $3,801.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.96 / $1,345.96 / $1,345.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.68 / $1,345.96 / $1,615.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.04 / $1,713.04 / $1,713.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,207.83 / $2,111.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $1,207.83 / $3,135.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.40 / $1,267.15 / $1,900.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.68 / $1,269.68 / $1,319.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.68 / $1,269.68 / $1,349.04