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New York rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.35 / $111.72 / $206.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.35 / $111.72 / $161.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.73 / $261.86 / $513.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $117.63 / $375.02
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.92 / $213.89 / $213.89
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.89 / $213.89 / $213.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $126.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.73 / $332.00 / $577.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.57 / $184.85 / $462.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.65 / $65.65 / $65.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $154.35 / $184.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $126.98 / $397.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.39 / $137.96 / $221.28
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.35 / $154.35 / $160.40
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $154.35 / $164.00