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Alabama rates for HCPCS L6925

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,064.26 / $9,064.26 / $9,064.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,603.63 / $9,064.26 / $9,064.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,025.65 / $8,025.65 / $8,025.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $10,803.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $12,525.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,075.66 / $5,379.50 / $7,366.55