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Arizona 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
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,630.27 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,090.30 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,128.61 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,311.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,238.72 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,548.13 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,238.72 / $3,548.13