go back

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
$4,491.89 / $4,973.47 / $8,109.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,438.00 / $5,438.00 / $6,933.42
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 / $5,301.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,099.82 / $10,142.60 / $14,605.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,613.50 / $5,331.52 / $8,023.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,595.76 / $5,595.76 / $7,099.82