go back

Illinois rates for HCPCS L6026

Transcarpal/Metacarpal Or Partial Hand Disarticu- Lation 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
$2,599.06 / $2,599.06 / $2,599.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,127.77 / $2,599.06 / $4,406.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,931.62 / $25,285.36 / $55,150.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $6,215.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $3,323.97 / $6,087.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,628.43 / $5,678.94 / $7,197.49
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,826.60 / $6,826.60 / $6,826.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.02 / $4,571.46 / $4,800.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.89 / $2,619.78 / $4,599.97