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South Dakota 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 $8,511 · 10th–90th $7,079$16,2180%50%10th90th$8,511Professionalmedian $8,511 · 10th–90th $3,890$12,8820%10%10th90th$8,511$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,772.37
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,309.57
Typical High
$48,977.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$9,772.37
Typical High
$10,000.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$17,378.01
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$9,772.37
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$6,456.54
Typical High
$11,748.98
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51