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Wisconsin 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 $10,233 · 10th–90th $8,511–$18,6210%50%10th90th$10,233Professionalmedian $6,761 · 10th–90th $3,981–$15,4880%10%20%10th90th$6,761$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
$5,128.61 / $5,128.61 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,128.61 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $16,982.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,549.93 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $23,988.33 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $14,791.08 / $19,498.45
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $12,882.50
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $9,120.11 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $10,000.00 / $42,657.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,754.40 / $11,481.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $6,760.83
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $11,748.98 / $20,417.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $15,488.17 / $25,118.86
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $20,417.38 / $42,657.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,549.93 / $48,977.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,025.60 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,011.87 / $8,317.64