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Vermont 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
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,786.30 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,606.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,762.47 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $6,918.31 / $19,054.61