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New York rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $22,908.68 / $32,359.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $14,791.08 / $24,547.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $28,840.32 / $57,543.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $18,197.01 / $45,708.82
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $23,442.29 / $23,442.29
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $23,442.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $45,708.82 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $28,840.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $47,863.01 / $112,201.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $31,622.78 / $56,234.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,982.44 / $18,197.01 / $20,417.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,908.68 / $22,908.68 / $22,908.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,054.61 / $27,542.29 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $30,199.52 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $15,135.61 / $23,988.33
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,982.44 / $21,877.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,982.44 / $16,982.44 / $18,197.01