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Georgia 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
$2,499.40 / $2,499.40 / $47,003.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,467.91 / $2,859.85 / $3,999.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,999.92 / $8,399.89 / $22,019.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,336.49 / $5,316.48 / $10,311.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.35 / $5,099.93 / $11,099.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,099.93 / $5,099.93 / $5,099.93
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 / $3,323.97 / $6,013.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,559.93 / $5,999.92 / $10,068.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.53 / $3,098.17 / $5,859.30