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Montana 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 $10,000 · 10th–90th $6,310–$12,5890%20%40%10th90th$10,000Professionalmedian $6,607 · 10th–90th $2,692–$11,7490%10%10th90th$6,607$100.0$500.0$2.0K$10.0K

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
$2,691.53 / $6,165.95 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,715.19 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,715.19 / $10,715.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $10,000.00 / $19,498.45
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $10,000.00 / $19,498.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,511.38 / $12,302.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $8,128.31 / $10,715.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,025.60 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,981.07 / $6,165.95