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Washington, DC 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
$2,705.43 / $2,705.43 / $2,705.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,705.43 / $2,705.43 / $2,705.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,225.76 / $3,225.76 / $3,469.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $2,426.50 / $2,426.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,299.21 / $3,299.21 / $10,075.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.14 / $2,532.21 / $3,851.98