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Iowa 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

Facilitymedian $10,000 · 10th–90th $6,761–$26,3030%20%10th90th$10,000Professionalmedian $5,888 · 10th–90th $4,467–$10,4710%20%10th90th$5,888$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,762.47 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,370.32 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $12,589.25 / $15,488.17
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,232.93 / $10,964.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,882.50 / $47,863.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,918.31 / $16,595.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,964.78 / $11,220.18 / $14,125.38
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,595.87 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $10,000.00 / $24,547.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,370.32 / $9,332.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $9,772.37 / $9,772.37