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Missouri 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 $7,244 · 10th–90th $4,074–$19,9530%20%10th90th$7,244Professionalmedian $4,898 · 10th–90th $3,631–$8,5110%20%10th90th$4,898$10.0$50.0$200.0$1.0K$5.0K$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
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $6,025.60 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,786.30 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $31,622.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,897.79 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $9,120.11
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
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $7,244.36 / $19,952.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,466.84 / $51,286.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,244.36 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,466.84 / $6,456.54