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Connecticut 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
$2,467.91 / $2,467.91 / $2,467.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.16 / $2,467.91 / $2,569.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,935.20 / $5,077.68 / $5,809.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,246.42 / $3,443.26 / $3,443.26
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 / $3,323.97
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,300.49 / $3,300.49 / $3,300.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,070.87 / $3,300.49 / $4,346.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.20 / $2,533.19 / $3,574.81