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New York rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Facilitymedian $6,607 · 10th–90th $3,467–$16,2180%20%10th90th$6,607Professionalmedian $4,898 · 10th–90th $3,467–$11,7490%20%40%10th90th$4,898$10.0$50.0$200.0$1.0K$5.0K$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
$2,951.21 / $6,456.54 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,606.93 / $6,606.93
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $11,748.98
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $13,489.63 / $31,622.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,709.64 / $15,488.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,128.61 / $5,754.40
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,762.47 / $7,762.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,025.60 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $5,370.32 / $13,489.63
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,786.30 / $5,011.87
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $5,128.61