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Maryland 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
Professional
Modifier
Low / Median / High Price
$3,602.02 / $4,291.77 / $6,997.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,693.00 / $4,693.00 / $5,983.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,599.50 / $6,300.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,126.66 / $8,752.37 / $12,603.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,942.53 / $4,584.79 / $6,924.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,877.03 / $4,877.03 / $6,126.66