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Nevada 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
$2,884.03 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $6,606.93 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,786.30 / $6,606.93
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $9,120.11 / $15,848.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $9,120.11 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,466.84 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $5,754.40 / $8,128.31