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New York rates for HCPCS L6935

Below elbow, 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,461.96 / $4,099.67 / $7,588.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,461.96 / $4,561.59 / $5,939.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,420.65 / $9,609.06 / $18,841.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,543.68 / $6,543.68 / $15,841.61
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,299.36 / $7,848.77 / $7,848.77
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,848.77 / $7,848.77 / $7,848.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.37 / $7,503.37 / $7,503.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $5,477.46 / $7,503.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $9,420.65 / $21,196.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,558.18 / $7,689.33 / $17,164.41
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,663.74 / $6,017.73 / $7,848.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $7,503.37 / $9,420.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $5,612.55 / $14,036.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.24 / $6,046.21 / $8,616.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,663.74 / $5,663.74 / $5,885.68
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,663.74 / $5,663.74 / $6,017.73