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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,850.82 / $3,850.82 / $4,158.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,850.82 / $4,158.89 / $7,701.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,795.48 / $8,795.48 / $8,795.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $6,541.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,775.54 / $6,541.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,989.41 / $42,519.53 / $42,519.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48,489.51 / $48,489.51 / $60,075.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.84 / $6,129.60 / $8,795.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.96 / $7,915.93 / $9,339.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.84 / $6,170.73 / $8,795.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,775.54 / $6,738.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.09 / $9,078.09 / $10,680.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.12 / $5,015.42 / $6,020.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,846.97 / $4,893.57 / $8,795.48