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Arizona 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
Professional
Modifier
Low / Median / High Price
$4,595.79 / $4,823.79 / $8,025.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,451.09 / $8,854.56 / $16,008.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,127.72 / $8,170.29 / $11,132.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,261.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $12,525.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.39 / $6,823.95 / $48,028.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,169.75 / $4,613.50 / $7,109.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.55 / $4,613.50 / $6,949.58