go back

Michigan 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
$5,562.41 / $5,562.41 / $5,562.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,337.97 / $5,562.41 / $5,562.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,742.10 / $29,371.94 / $53,495.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,253.00 / $9,740.00 / $13,149.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,238.84 / $5,689.04 / $6,331.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,792.00 / $7,792.00 / $7,792.00
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
$6,300.68 / $6,300.68 / $11,291.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,562.41 / $7,038.55 / $7,038.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,562.41 / $7,038.55 / $10,474.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,126.46 / $7,207.60 / $8,288.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,350.77 / $4,656.33 / $6,701.54