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Kansas 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
$7,454.96 / $7,454.96 / $7,454.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,978.39 / $5,190.16 / $8,304.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,102.51 / $12,102.51 / $12,102.51
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 / $15,656.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.39 / $7,990.18 / $48,028.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,075.66 / $5,676.72 / $12,666.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,297.45 / $4,946.17 / $7,109.25