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Colorado 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
$2,858.43 / $2,858.43 / $2,858.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.96 / $2,858.43 / $3,388.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,716.86 / $6,423.46 / $11,662.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,443.26 / $3,443.26 / $3,718.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $3,323.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $2,426.50 / $6,046.07
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.43 / $3,295.85 / $7,977.08
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,295.85 / $3,295.85 / $3,295.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,173.31 / $7,146.08 / $11,319.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.89 / $2,244.96 / $3,574.81