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Arizona rates for HCPCS L6930

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,786.30 / $17,782.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,570.88 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $7,585.78 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,888.44 / $41,686.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,981.07 / $51,286.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,981.07 / $6,025.60