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Idaho 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
$3,981.07 / $5,623.41 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,912.51 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,471.29 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,606.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,762.47 / $10,232.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $9,120.11 / $9,549.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $9,120.11 / $9,120.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,918.31 / $10,471.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $9,549.93 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,248.07 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $6,165.95