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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

Facilitymedian $7,244 · 10th–90th $4,169–$18,1970%10%20%10th90th$7,244Professionalmedian $4,571 · 10th–90th $3,467–$8,3180%20%40%10th90th$4,571$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
$4,168.69 / $4,168.69 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,570.88 / $8,317.64
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $9,549.93 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $6,309.57
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $60,255.96 / $60,255.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $7,413.10 / $11,748.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,677.35 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $7,244.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,244.36 / $11,748.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $6,309.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,011.87 / $6,165.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $9,549.93 / $9,549.93