go back

Texas 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
$4,168.69 / $4,168.69 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,570.88 / $8,128.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $9,549.93 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $6,309.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $41,686.94 / $41,686.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,286.14 / $60,255.96 / $60,255.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $11,748.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,786.30 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,244.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,244.36 / $11,748.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,623.41 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $5,011.87 / $6,165.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93