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Missouri 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
$4,117.25 / $6,090.10 / $6,285.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,117.25 / $5,005.24 / $8,577.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,011.83 / $9,462.42 / $41,598.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,810.89 / $4,893.57 / $7,290.96
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 / $4,775.54 / $6,738.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,117.25 / $7,262.82 / $42,519.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.12 / $4,870.56 / $8,544.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.11 / $10,680.11 / $12,816.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.12 / $4,514.72 / $6,381.73