go back

Iowa 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
$7,443.16 / $8,158.20 / $8,158.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,357.47 / $4,840.72 / $7,057.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $9,834.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,300.68 / $11,291.63 / $14,114.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,380.67 / $8,702.14 / $9,740.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,701.34 / $11,622.33 / $42,111.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,274.00 / $5,616.88 / $12,214.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,805.50 / $9,834.28 / $12,244.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,720.00 / $11,487.77 / $18,793.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,274.00 / $4,538.18 / $10,519.20
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,761.45 / $8,761.45 / $8,761.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,921.55 / $8,761.45 / $8,761.45