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New York rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Facilitymedian $10 · 10th–90th $5$250%20%10th90th$10Professionalmedian $8 · 10th–90th $5$190%20%10th90th$8$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
$3.98 / $10.72 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.32 / $21.38
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $11.22 / $11.22
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $17.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $22.39 / $52.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.80 / $25.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.51
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.18 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.91 / $22.91
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.51
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.51