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Oregon 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 $9,120 · 10th–90th $7,079–$9,5500%50%10th90th$9,120Professionalmedian $5,623 · 10th–90th $3,467–$10,4710%10%10th90th$5,623$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,897.79 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $17,782.79 / $21,379.62
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,079.46 / $9,549.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $7,585.78 / $10,471.29
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,332.54 / $9,549.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,762.47 / $10,471.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $8,128.31 / $9,772.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $14,791.08 / $36,307.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $10,471.29 / $10,471.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,025.60 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,981.07 / $7,585.78