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Ohio 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
$5,275.29 / $5,275.29 / $10,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,973.47 / $5,275.29 / $6,700.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,144.76 / $11,884.17 / $30,790.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,412.74 / $5,623.53 / $14,044.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,087.23 / $10,803.79 / $14,585.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,022.46 / $9,723.41 / $23,133.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $12,636.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $8,983.15
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,261.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $7,261.93 / $7,261.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,593.26 / $5,389.89 / $7,829.71