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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
$5,680.25 / $7,850.88 / $7,850.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,612.67 / $6,541.83 / $6,541.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $6,738.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.84 / $7,011.67 / $9,339.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,405.56 / $8,872.53 / $9,339.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,178.00 / $9,120.62 / $13,680.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,537.66 / $6,815.80 / $9,806.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,694.76 / $3,996.14 / $6,327.23