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New York rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $6,457 · 10th–90th $3,715–$15,4880%20%10th90th$6,457Professionalmedian $5,370 · 10th–90th $3,715–$12,5890%20%10th90th$5,370$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3,090.30 / $6,760.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,265.80 / $6,760.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $8,709.64 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $14,791.08
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,079.46 / $7,079.46
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $10,000.00
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $14,125.38 / $33,113.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,709.64 / $16,595.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,623.41
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,370.32 / $5,370.32
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $8,317.64 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $5,888.44 / $23,988.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,623.41 / $14,454.40
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,248.07 / $5,623.41
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,370.32 / $5,370.32