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Indiana 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
$4,635.34 / $4,635.34 / $9,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,989.13 / $4,635.34 / $4,820.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,694.60 / $8,717.29 / $9,740.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,840.72 / $4,923.92 / $6,795.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,850.80 / $10,227.00 / $13,636.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,279.00 / $10,714.00 / $13,149.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $9,740.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $9,834.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,680.62 / $4,859.17 / $6,441.28