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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

Facilitymedian $6,026 · 10th–90th $3,631–$6,3100%50%10th90th$6,026Professionalmedian $4,677 · 10th–90th $3,631–$7,4130%20%10th90th$4,677$5.0K$10.0K$20.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,677.35 / $7,413.10
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $6,309.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $8,912.51 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,025.60 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,570.88 / $6,918.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $7,585.78