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Arkansas rates for HCPCS L6026

Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,501.16 / $2,501.16 / $2,501.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.96 / $2,501.16 / $2,599.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,884.71 / $5,141.53 / $5,712.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,075.70 / $5,075.70 / $5,999.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,075.70 / $5,075.70 / $5,075.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $3,599.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $3,323.97 / $3,515.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.65 / $2,244.96 / $3,574.81