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Illinois 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 $11,482 · 10th–90th $5,012–$52,4810%20%10th90th$11,482Professionalmedian $5,012 · 10th–90th $3,467–$10,2330%20%10th90th$5,012$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$5,011.87 / $5,011.87 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,011.87 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $19,498.45 / $69,183.10
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
$4,786.30 / $4,786.30 / $10,232.93
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,332.54 / $11,748.98
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $8,317.64 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,011.87 / $7,943.28