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New York rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $549.54 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $426.58 / $1,096.48
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $575.44 / $575.44
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,230.27 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $691.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $2,691.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $758.58 / $1,348.96
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $489.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $457.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $537.03 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $575.44
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $426.58 / $489.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $457.09