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New York rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Facilitymedian $1,230 · 10th–90th $692$2,8840%10%20%10th90th$1,230Professionalmedian $871 · 10th–90th $631$2,3440%20%10th90th$871$1.0$10.0$100.0$1.0K$10.0K

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
$575.44 / $1,258.93 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $794.33 / $1,348.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $3,235.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $2,630.27
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,318.26 / $1,318.26
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $2,041.74
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,630.27 / $6,165.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,621.81 / $3,090.30
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $741.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $954.99 / $1,000.00
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,548.82 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,071.52 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,047.13 / $2,630.27
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $912.01 / $954.99
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $954.99 / $1,000.00