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Illinois 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 $12,303 · 10th–90th $5,370$56,2340%20%10th90th$12,303Professionalmedian $5,495 · 10th–90th $4,365$10,9650%20%10th90th$5,495$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$5,370.32
Typical High
$10,232.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$20,892.96
Typical High
$74,131.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$10,964.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$10,715.19
Typical High
$13,182.57
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,912.51
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,370.32
Typical High
$8,912.51