Myoelectric below-elbow prosthesis, adult (base system)
EMDN Y061809 · HCPCS L6935 · LPP 2773605, 2733445, 2718664
Socket, electrodes, cabling, batteries and charger of an externally powered transradial prosthesis for an adult, without the hand or other terminal device.
EMDN code Y061809: TRANSRADIAL PROSTHESES (FOR AMPUTATION UNDER ELBOW) [1].
| System | Comparability | Total | In euros |
|---|---|---|---|
| France | Close match | €6,975.02 | €6,975.02 |
| United States | Close match | US$10,598.81 | €9,458.16 |
| Australia | No code | ||
France
Close match. The French list names one brand (Otto Bock Myobock); casting is billed separately and prior approval is required. Source [3].
-
2773605 1 × €4,679.68 Reimbursement tariff, also the maximum price
PSMA1. PROTHESE DAVANT BRAS OTTO BOCK MYOBOCK
Full LPP designation, in French
PSMA1. PROTHÈSE DAVANT BRAS OTTO BOCK MYOBOCK Prothèse d'avant-bras Otto Bock MYOBOCK mue par énergie électrique pour adulte, incluant l'emboîture de test, la double emboîture, deux batteries Li-Ion 757B20 ou 757B21, la prise rapide, le câblage (moulage non compris, chargeur non compris, gant non compris) Ces éléments seront systématiquement complétés par : - une des mains (ou pinces) proposées dans les adjonctions selon le niveau d'amputation et la taille de la main - 1 ou 2 électrode(s) et/ou, le cas échéant, 1 ou 2 interrupteur(s) (1 interrupteur pouvant se substituer à 1 ou 2 électrodes)
LPP tariff (tarif de responsabilité), which is also the maximum sale price
-
2733445 2 × €886.47 Reimbursement tariff, also the maximum price
PSMC6. ELECTRODE OTTO BOCK 13E200=50 STANDARD POUR ADULTE ET ENFANT
Full LPP designation, in French
PSMC6. ELECTRODE OTTO BOCK 13E200=50 STANDARD POUR ADULTE ET ENFANT PSMC6. Electrode Otto Bock 13E200=50 standard pour adulte et enfant
LPP tariff (tarif de responsabilité), which is also the maximum sale price
-
2718664 1 × €522.40 Reimbursement tariff, also the maximum price
PSMA3. CHARGEUR LI-ION OTTO BOCK 757L20 POUR ADULTE
Full LPP designation, in French
PSMA3. CHARGEUR LI-ION OTTO BOCK 757L20 POUR ADULTE PSMA3. Chargeur Li-Ion Otto Bock 757L20 pour adulte
LPP tariff (tarif de responsabilité), which is also the maximum sale price
- 2773605: prior approval required, latest order published in the Journal officiel of 11 December 2024.
- 2733445: prior approval required, latest order published in the Journal officiel of 6 July 2023.
- 2718664: prior approval required, latest order published in the Journal officiel of 6 July 2023.
United States
Close match. L6935 includes the electrodes, cables, two batteries and one charger. Source [4][5].
-
L6935 1 × US$10,598.81 Reimbursement tariff
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
Median of 53 states, US$8,604.01 to US$11,203.37
Medicare fee schedule amount; Medicare pays 80% of the lower of the actual charge and this amount
Show the amount in each state (L6935)
| State | Non-rural | Rural |
|---|---|---|
| AK | US$9,893.33 | |
| AL | US$11,169.31 | |
| AR | US$10,594.92 | |
| AZ | US$9,866.92 | |
| CA | US$9,866.92 | |
| CO | US$11,203.37 | |
| CT | US$10,598.81 | |
| DC | US$10,564.05 | |
| DE | US$10,564.05 | |
| FL | US$11,169.31 | |
| GA | US$11,169.31 | |
| HI | US$10,579.01 | |
| IA | US$10,311.37 | |
| ID | US$10,923.61 | |
| IL | US$10,968.08 | |
| IN | US$10,968.08 | |
| KS | US$10,311.37 | |
| KY | US$11,169.31 | |
| LA | US$10,594.92 | |
| MA | US$10,598.81 | |
| MD | US$10,564.05 | |
| ME | US$10,598.81 | |
| MI | US$10,968.08 | |
| MN | US$10,968.08 | |
| MO | US$10,311.37 | |
| MS | US$11,169.31 | |
| MT | US$11,203.37 | |
| NC | US$11,169.31 | |
| ND | US$11,203.37 | |
| NE | US$10,311.37 | |
| NH | US$10,598.81 | |
| NJ | US$9,609.07 | |
| NM | US$10,594.92 | |
| NV | US$9,866.92 | |
| NY | US$9,609.07 | |
| OH | US$10,968.08 | |
| OK | US$10,594.92 | |
| OR | US$10,923.61 | |
| PA | US$10,564.05 | |
| PR | US$8,604.01 | |
| RI | US$10,598.81 | |
| SC | US$11,169.31 | |
| SD | US$11,203.37 | |
| TN | US$11,169.31 | |
| TX | US$10,594.92 | |
| UT | US$11,203.37 | |
| VA | US$10,564.05 | |
| VI | US$9,609.07 | |
| VT | US$10,598.81 | |
| WA | US$10,923.61 | |
| WI | US$10,968.08 | |
| WV | US$10,564.05 | |
| WY | US$11,203.37 |
Australia
The Prescribed List covers devices used or implanted as part of hospital treatment. The Department of Health states that external devices, like prosthetic limbs, are not eligible to be listed. [6]
References
- European Commission. European Medical Device Nomenclature (EMDN), version 2026 [Internet]. Brussels: European Commission; 2026 [cited 2026 Oct 9]. Available from: https://webgate.ec.europa.eu/dyna2/emdn/
- European Central Bank. Euro foreign exchange reference rates, 9 October 2026 [Internet]. Frankfurt am Main: ECB; 2026 [cited 2026 Oct 9]. Available from: https://www.ecb.europa.eu/stats/policy_and_exchange_rates/euro_reference_exchange_rates/html/index.en.html
- Assurance Maladie. Liste des produits et prestations (LPP), version 905 [Internet]. Paris: Caisse nationale de l'assurance maladie; 2026 [updated 2026 Oct 8; cited 2026 Oct 9]. Available from: http://www.codage.ext.cnamts.fr/codif/tips/index.php?p_site=AMELI
- Centers for Medicare & Medicaid Services. DMEPOS fee schedule, October 2026 (DME26-D) [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/payment/fee-schedules/dmepos/dmepos-fee-schedule/dme26-d
- Centers for Medicare & Medicaid Services. October 2026 alpha-numeric HCPCS file [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update
- Department of Health, Disability and Ageing. Medical devices and human tissue products covered under private health insurance [Internet]. Canberra: Australian Government; [updated 2025 Mar 13; cited 2026 Oct 9]. Available from: https://www.health.gov.au/topics/private-health-insurance/what-private-health-insurance-covers/medical-devices-and-human-tissue-products-covered-under-private-health-insurance