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Virginia 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 $9,333 · 10th–90th $4,898–$10,0000%20%40%10th90th$9,333Professionalmedian $4,898 · 10th–90th $3,890–$8,5110%50%10th90th$4,898$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
$4,897.79 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,897.79 / $6,760.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $10,232.93
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $6,165.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $9,332.54 / $13,182.57
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,165.95 / $9,332.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $6,165.95 / $10,715.19
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,011.87 / $6,165.95
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,762.47 / $12,882.50
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,762.47 / $12,882.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,025.60 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,570.88 / $7,244.36