go back

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.01 / $8,470.41 / $8,470.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,336.78 / $4,937.87 / $7,033.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $9,913.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,541.83 / $11,723.63 / $14,654.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,873.21 / $9,011.83 / $10,112.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,746.99 / $11,715.38 / $42,519.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,308.22 / $5,582.26 / $12,312.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,884.01 / $9,913.01 / $12,168.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,299.84 / $11,579.76 / $18,943.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,816.13 / $12,816.13 / $20,826.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,156.84 / $4,782.14 / $11,810.73
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,831.59 / $8,831.59 / $8,831.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,976.96 / $8,831.59 / $8,831.59