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New York rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $208.93 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $162.18 / $416.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $213.80 / $213.80
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $446.68 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $257.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $436.52 / $1,023.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $288.40 / $512.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $204.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $165.96 / $194.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $204.17 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $141.25 / $218.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $162.18 / $204.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $165.96 / $194.98