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New York rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $23 · 10th–90th $12–$520%20%40%10th90th$23Professionalmedian $16 · 10th–90th $12–$400%20%40%10th90th$16$0.0$0.2$2.0$20.0$200.0$2.0K$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
$10.00 / $23.44 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.80 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $16.22 / $42.66
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $23.99 / $23.99
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $30.20
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $48.98 / $112.20
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $56.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.95
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.62 / $19.05
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $19.50 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.05 / $48.98
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $19.95
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.62 / $19.05