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New York rates for HCPCS L6925

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

Facilitymedian $7,586 · 10th–90th $3,981–$19,0550%10%10th90th$7,586Professionalmedian $5,623 · 10th–90th $4,074–$13,4900%20%40%10th90th$5,623$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
$3,388.44 / $7,413.10 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,248.07 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $15,848.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,762.47 / $7,762.47
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $12,589.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $15,488.17 / $36,307.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,000.00 / $17,782.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,888.44 / $6,606.93
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
$6,165.95 / $9,120.11 / $9,120.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,918.31 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,165.95 / $15,488.17
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,623.41 / $5,754.40
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,888.44