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Colorado 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
$4,868.43 / $4,868.43 / $4,868.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,899.21 / $4,868.43 / $6,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,736.85 / $10,940.32 / $19,863.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,893.57 / $4,893.57 / $5,285.06
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 / $9,642.94
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.84 / $4,868.43 / $12,171.06
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.84 / $2,579.84 / $2,579.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,107.90 / $12,171.06 / $19,278.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,694.76 / $3,996.14 / $6,157.94