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Mississippi 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
$6,025.60 / $6,025.60 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,623.41 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,709.64 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $5,128.61 / $7,244.36