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Arkansas rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,888.72 / $4,888.72 / $4,888.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,430.44 / $4,888.72 / $4,888.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,592.98 / $10,049.53 / $11,166.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,010.09 / $8,010.09 / $9,251.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,251.75 / $9,251.75 / $9,251.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $7,036.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $6,871.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.09 / $9,078.09 / $10,680.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.10 / $4,387.97 / $6,020.97