go back

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,840.72 / $4,840.72 / $24,030.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,747.99 / $4,840.72 / $24,030.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.92 / $12,768.14 / $26,438.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,879.76 / $4,923.92 / $9,058.20
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $9,860.64 / $17,608.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $11,050.98 / $25,741.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,895.58 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,599.50 / $6,489.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $4,410.00 / $9,161.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,997.32 / $5,830.20 / $12,659.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,363.20 / $42,111.30 / $42,111.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50,947.89 / $50,947.89 / $60,448.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,358.06 / $19,358.06 / $19,358.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.84 / $7,299.43 / $8,873.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $9,245.67
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,720.40 / $15,720.40 / $15,720.40
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $6,247.50 / $6,663.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,784.89 / $4,118.10 / $8,059.76