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Iowa 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

Facilitymedian $8,913 · 10th–90th $6,026–$22,9090%10%20%10th90th$8,913Professionalmedian $5,129 · 10th–90th $3,467–$9,1200%20%10th90th$5,129$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,011.87 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $11,748.98 / $14,791.08
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $8,912.51 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $11,748.98 / $42,657.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $6,025.60 / $15,135.61
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $10,232.93 / $12,302.69
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $15,135.61 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $9,120.11 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,897.79 / $8,511.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $8,912.51 / $8,912.51