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California 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

Facilitymedian $4,677 · 10th–90th $3,715–$21,3800%20%10th90th$4,677Professionalmedian $4,898 · 10th–90th $3,631–$31,6230%20%10th90th$4,898$10.0$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $36,307.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,786.30 / $31,622.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,677.35 / $19,952.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,897.79 / $12,882.50
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $12,302.69 / $19,498.45
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $15,488.17 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $6,309.57
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,570.88 / $10,232.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $7,585.78 / $13,182.57
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $60,255.96 / $60,255.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $7,943.28 / $10,964.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $9,549.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,786.30 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $5,370.32 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,897.79 / $9,332.54