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New York rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Facilitymedian $617 · 10th–90th $331$1,3800%20%10th90th$617Professionalmedian $479 · 10th–90th $331$1,1220%20%10th90th$479$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
$281.84 / $616.60 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $407.38 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $1,318.26
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $630.96 / $630.96
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $1,096.48
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,288.25 / $2,951.21
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $776.25 / $1,479.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $562.34
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $489.78 / $537.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $575.44 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $501.19 / $1,288.25
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $478.63 / $562.34
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $489.78 / $537.03