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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
$5,128.61 / $5,128.61 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,011.87 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,248.07 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $10,715.19 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,570.88 / $7,079.46