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Arkansas 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
$5,162.06 / $5,162.06 / $5,162.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,024.33 / $5,162.06 / $5,162.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,017.53 / $10,611.43 / $11,790.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,142.60 / $10,142.60 / $10,782.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,142.60 / $10,142.60 / $10,142.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,429.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $7,261.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,075.66 / $4,633.32 / $6,951.12