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New York rates for HCPCS L6500

Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Facilitymedian $2,951 · 10th–90th $1,660$7,0790%20%10th90th$2,951Professionalmedian $2,239 · 10th–90th $1,660$5,7540%20%10th90th$2,239$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$1,412.54 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,995.26 / $3,548.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $7,762.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $6,606.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,162.28 / $3,162.28
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $4,897.79
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,456.54 / $15,135.61
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,890.45 / $7,413.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,137.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,290.87 / $2,454.71
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,754.23 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,570.40 / $6,456.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,290.87 / $2,398.83
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,290.87 / $2,454.71