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West 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,536.64 / $4,536.64 / $4,536.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,449.25 / $4,536.64 / $4,879.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,013.64 / $11,629.66 / $16,190.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,607.06 / $6,476.23 / $9,612.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $10,448.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $43,791.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.09 / $9,078.09 / $9,078.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,519.28 / $5,582.26 / $8,036.29