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New York rates for HCPCS L8430

Prosthetic sock, multiple ply, above knee (AK), each

Facilitymedian $21 · 10th–90th $13–$580%20%10th90th$21Professionalmedian $20 · 10th–90th $12–$450%20%40%10th90th$20$0.0$0.2$2.0$20.0$200.0$2.0K$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
$10.96 / $25.12 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $14.13 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $53.70
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $26.30 / $26.30
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $33.11
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $52.48 / $123.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $31.62 / $60.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $17.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.62 / $19.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $19.95 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $20.42 / $52.48
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $18.62 / $19.50
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.62 / $19.95