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Wisconsin 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 $8,128–$18,1970%50%10th90th$10,000Professionalmedian $6,761 · 10th–90th $3,890–$14,7910%20%10th90th$6,761$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
$4,897.79 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,897.79 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $9,332.54 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $22,908.68 / $48,977.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $14,125.38 / $18,620.87
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,943.28 / $12,302.69
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $8,912.51 / $11,748.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $9,772.37 / $41,686.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,754.40 / $10,964.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $6,606.93
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $11,220.18 / $19,498.45
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $14,791.08 / $25,118.86
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $19,952.62 / $41,686.94
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $9,120.11 / $51,286.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $6,025.60 / $10,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,897.79 / $8,128.31