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New York rates for HCPCS L8480

Prosthetic sock, single ply, fitting, above knee (AK), each

Facilitymedian $9 · 10th–90th $4–$200%20%10th90th$9Professionalmedian $7 · 10th–90th $4–$160%20%10th90th$7$0.1$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
$3.98 / $8.91 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $8.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $19.05
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $9.12 / $9.12
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $12.88
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $18.62 / $43.65
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.22 / $21.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.08 / $8.32
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.72 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.41 / $18.62
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.92 / $8.71
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.08 / $8.32