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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
$4,897.79 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,786.30 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $9,332.54 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,168.69 / $6,165.95