go back

Washington 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
$6,637.64 / $15,067.40 / $15,731.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,250.79 / $6,637.64 / $15,731.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,943.79 / $19,450.63 / $48,028.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,593.96 / $8,886.24 / $52,297.82
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 / $7,261.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,818.08 / $10,214.07 / $26,477.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,824.47 / $10,225.76 / $19,623.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,047.17 / $7,830.19 / $8,613.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,192.66 / $10,214.07 / $10,501.57
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,114.19 / $8,114.19 / $8,114.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,943.79 / $11,470.88 / $19,949.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,721.91 / $9,974.68 / $9,974.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,114.19 / $8,681.95 / $11,235.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,613.50 / $6,920.24 / $8,801.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,434.67 / $3,434.67 / $8,681.95