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Florida 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
$2,561.57 / $2,754.90 / $3,336.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,482.40 / $2,754.90 / $4,465.68
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,859.85 / $4,766.41 / $8,613.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,799.93 / $4,799.93 / $4,799.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.96 / $2,993.29 / $3,574.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,443.26 / $3,443.26 / $5,999.92