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New York rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.44 / $266.69 / $493.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $215.45 / $266.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.00 / $431.46 / $846.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.08 / $272.08 / $711.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.75 / $352.42 / $352.42
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $352.42 / $352.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $293.77
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $423.00 / $951.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.42 / $317.25 / $761.40
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.27 / $299.27 / $299.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.31 / $270.20 / $352.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.00 / $423.00 / $423.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.11 / $343.11 / $343.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $557.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $252.01 / $630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $564.00 / $564.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $257.00 / $386.89
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.31 / $254.31 / $264.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.31 / $254.31 / $299.27