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Washington 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
$6,585.10 / $14,948.20 / $15,606.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,115.25 / $6,585.10 / $15,606.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $19,296.65 / $42,111.30
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,830.20 / $8,714.57 / $50,947.89
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,070.97 / $9,672.60 / $23,075.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,076.54 / $9,626.56 / $17,102.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,991.39 / $7,768.22 / $8,545.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,119.90 / $9,990.71 / $11,146.54
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,049.97 / $8,049.97 / $8,049.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $11,380.08 / $19,791.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,644.95 / $9,895.71 / $9,895.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,049.97 / $8,613.24 / $11,146.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,020.92 / $6,196.12 / $7,671.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,706.11 / $2,706.11 / $8,613.24