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Montana 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 $9,550 · 10th–90th $6,310$12,0230%20%10th90th$9,550Professionalmedian $6,026 · 10th–90th $2,884$12,0230%10%20%10th90th$6,026$100.0$500.0$2.0K$10.0K

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
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$5,623.41
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,232.93
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$10,232.93
Typical High
$10,232.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$9,549.93
Typical High
$18,620.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$9,549.93
Typical High
$18,620.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$9,120.11
Typical High
$11,748.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$7,585.78
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$6,025.60
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,981.07
Typical High
$6,165.95