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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
$4,467.18 / $4,467.18 / $5,154.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $6,728.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,988.62 / $6,738.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $6,728.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $6,738.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,044.63 / $6,020.97 / $10,582.76