go back

California rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.01 / $2,648.01 / $13,898.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.71 / $2,648.01 / $13,898.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,010.83 / $7,308.36 / $15,290.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,472.65 / $2,965.25 / $4,589.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $5,702.99 / $10,183.91
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $6,391.46 / $14,887.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,253.05 / $2,801.20 / $2,801.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $5,721.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,853.67 / $4,817.09 / $5,780.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.25 / $3,371.96 / $7,321.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,291.49 / $22,982.54 / $22,982.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,847.51 / $24,847.51 / $36,128.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,171.42 / $10,171.42 / $10,171.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.00 / $4,218.01 / $4,961.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $4,704.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,092.07 / $9,092.07 / $9,092.07
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,853.67 / $3,853.67 / $3,853.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.44 / $2,403.19 / $4,688.22