go back

South Dakota 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

Facilitymedian $9,120 · 10th–90th $7,586–$17,3780%50%10th90th$9,120Professionalmedian $9,120 · 10th–90th $4,074–$13,8040%10%10th90th$9,120$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $9,120.11 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $8,511.38 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,471.29 / $28,183.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $7,079.46 / $52,480.75
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,964.78 / $10,964.78
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $18,620.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $10,471.29 / $13,803.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $7,079.46 / $12,589.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37