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Illinois 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 $10,965 · 10th–90th $4,786–$50,1190%20%10th90th$10,965Professionalmedian $4,786 · 10th–90th $3,467–$10,0000%20%10th90th$4,786$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,786.30 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $19,054.61 / $67,608.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $9,772.37
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $8,709.64 / $11,220.18
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,943.28 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,897.79 / $7,762.47