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New York rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.01 / $1,024.34 / $1,896.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.01 / $1,038.42 / $1,484.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.86 / $2,400.94 / $4,707.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.96 / $1,448.96 / $3,861.47
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.82 / $1,961.10 / $1,961.10
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.10 / $1,961.10 / $1,961.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $1,346.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,353.86 / $5,296.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.78 / $1,765.40 / $4,236.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.55 / $1,772.55 / $1,772.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.15 / $1,503.60 / $1,961.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.29 / $1,909.29 / $1,909.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,346.19 / $2,353.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $3,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.88 / $1,412.32 / $2,152.91
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.15 / $1,415.15 / $1,572.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.15 / $1,415.15 / $1,772.55