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Texas 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 $6,918 · 10th–90th $3,890–$19,0550%10%10th90th$6,918Professionalmedian $4,786 · 10th–90th $3,467–$7,7620%20%10th90th$4,786$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3,890.45 / $3,890.45 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,365.16 / $7,762.47
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $8,912.51 / $8,912.51
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 / $6,606.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $43,651.58
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48,977.88 / $60,255.96 / $60,255.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $7,079.46 / $11,481.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,786.30 / $9,120.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,760.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,918.31 / $11,220.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,897.79 / $6,165.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $8,912.51 / $8,912.51