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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

Facilitymedian $10,233 · 10th–90th $4,786–$10,9650%20%40%10th90th$10,233Professionalmedian $4,898 · 10th–90th $3,715–$7,2440%20%40%10th90th$4,898$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$4,786.30 / $4,786.30 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,786.30 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $10,232.93 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,897.79 / $8,709.64
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $10,471.29 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,606.93 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $6,025.60 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,011.87 / $7,244.36