go back

Utah 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
$2,978.39 / $2,978.39 / $2,978.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,978.39 / $3,308.81 / $29,466.60
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 / $12,650.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,753.17 / $7,666.41 / $9,966.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,195.54 / $10,255.44 / $10,255.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,839.81 / $7,351.10 / $11,026.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.55 / $4,613.50 / $6,602.10