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New York rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.49 / $1,863.33 / $3,449.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.49 / $1,888.95 / $2,699.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,281.77 / $4,367.41 / $8,563.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,635.75 / $2,635.75 / $7,024.27
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,317.63 / $3,567.34 / $3,567.34
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,567.34 / $3,567.34 / $3,567.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $1,787.62 / $2,448.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $4,281.77 / $9,633.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,526.23 / $3,211.33 / $7,707.19
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,246.71 / $3,246.71 / $3,246.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.21 / $2,735.11 / $3,567.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,473.09 / $3,473.09 / $3,473.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,448.80 / $4,281.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $6,357.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.09 / $2,569.06 / $3,916.24
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,574.21 / $2,574.21 / $2,592.42
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.21 / $2,574.21 / $3,246.71