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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,134.29 / $4,134.29 / $4,465.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,908.58 / $4,465.03 / $8,268.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,442.95 / $9,442.95 / $9,442.95
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
$4,599.50 / $4,599.50 / $6,300.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,363.20 / $42,111.30 / $42,111.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50,947.89 / $50,947.89 / $60,448.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.84 / $6,580.85 / $9,442.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.14 / $8,498.66 / $10,133.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.84 / $6,309.54 / $9,442.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,599.50 / $6,489.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,350.77 / $4,956.89 / $6,153.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,877.03 / $4,923.92 / $9,442.95