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Kansas 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
$6,776.30 / $6,776.30 / $6,776.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.84 / $4,717.68 / $7,548.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,000.78 / $11,000.78 / $11,000.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $6,541.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $14,654.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.84 / $7,262.82 / $42,519.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.10 / $5,159.96 / $11,513.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.09 / $9,078.09 / $10,680.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.27 / $4,495.89 / $6,157.94