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Washington 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
$6,069.30 / $13,777.30 / $14,384.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,868.43 / $6,069.30 / $14,384.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,178.00 / $17,785.21 / $42,519.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,244.79 / $8,031.98 / $48,489.51
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,039.58 / $9,339.51 / $22,934.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,045.10 / $9,227.20 / $16,997.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,443.75 / $7,159.73 / $7,875.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,405.56 / $9,339.51 / $9,736.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,178.00 / $10,488.71 / $18,241.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,889.49 / $9,120.62 / $9,120.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,419.41 / $7,938.58 / $10,273.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.11 / $12,816.13 / $12,816.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,996.14 / $6,020.97 / $7,624.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,706.11 / $2,706.11 / $7,938.58