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Indiana 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
$4,812.74 / $4,812.74 / $10,112.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,964.54 / $4,812.74 / $5,005.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,989.07 / $9,050.91 / $10,112.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,810.89 / $4,893.57 / $6,753.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,808.58 / $10,618.39 / $14,157.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,595.84 / $11,124.03 / $13,652.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $10,112.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $9,913.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,816.13 / $12,816.13 / $12,816.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.10 / $5,045.14 / $6,687.82