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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

Facilitymedian $7,762 · 10th–90th $4,074–$19,0550%10%10th90th$7,762Professionalmedian $6,607 · 10th–90th $4,571–$13,1830%20%10th90th$6,607$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
$3,467.37 / $7,585.78 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,248.07 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,760.83 / $15,488.17
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
$7,585.78 / $7,585.78 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $12,589.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $15,848.93 / $37,153.52
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $18,197.01
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,025.60 / $6,760.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
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
$6,309.57 / $9,120.11 / $9,120.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,079.46 / $26,915.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $6,309.57 / $15,848.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,623.41 / $5,888.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $6,025.60