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New York rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,478.30 / $7,439.81 / $13,771.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,478.30 / $7,542.09 / $10,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,095.98 / $17,437.90 / $34,191.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,672.80 / $5,672.80 / $20,653.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,246.38 / $14,243.42 / $14,243.42
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,243.42 / $14,243.42 / $14,243.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $9,812.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $17,095.98 / $38,465.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,086.62 / $12,821.99 / $31,148.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,128.37 / $11,823.89 / $14,243.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $9,812.54 / $17,095.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $25,382.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,686.00 / $10,445.82 / $15,636.49
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,442.17 / $11,442.17 / $11,442.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,128.37 / $11,442.17 / $11,823.89