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New York rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,535.85 / $8,923.99 / $16,518.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,535.85 / $9,032.36 / $12,928.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,506.48 / $20,916.61 / $41,012.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,303.16 / $11,303.16 / $31,648.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,888.92 / $17,084.86 / $17,084.86
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,084.86 / $17,084.86 / $17,084.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $12,752.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $9,309.19 / $12,752.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $20,506.48 / $46,139.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,098.82 / $15,379.86 / $37,362.81
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,328.58 / $13,099.12 / $17,084.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,633.50 / $16,633.50 / $16,633.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $12,752.32 / $20,506.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $12,674.00 / $30,554.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,820.30 / $12,303.89 / $18,463.24
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,328.58 / $12,328.58 / $12,328.58
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,328.58 / $12,328.58 / $13,099.12