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Maryland 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
$4,168.69 / $5,370.32 / $9,120.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $7,244.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $10,232.93 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,918.31 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,248.07 / $7,943.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $8,709.64