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New York rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $512.86 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $1,096.48
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $524.81
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,148.15 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $645.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,071.52 / $2,511.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $1,258.93
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $467.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $501.19 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $346.74 / $537.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $398.11 / $467.74
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $446.68