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Arizona 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
Professional
Modifier
Low / Median / High Price
$3,583.34 / $4,026.86 / $6,069.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.66 / $7,758.41 / $14,026.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,369.15 / $7,158.86 / $9,753.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $6,541.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,775.54 / $11,723.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.84 / $6,069.30 / $42,519.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,611.78 / $3,996.14 / $6,157.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,611.78 / $3,996.14 / $6,019.63