go back

Washington, DC 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
$4,931.34 / $4,931.34 / $4,931.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,931.34 / $4,931.34 / $4,931.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,961.00 / $5,184.74 / $6,324.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,775.54 / $4,775.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,013.64 / $6,013.64 / $18,365.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,816.13 / $12,816.13 / $12,816.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,077.06 / $4,615.60 / $6,538.76