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Indiana 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
$2,499.10 / $2,499.10 / $5,251.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.10 / $2,549.08 / $2,969.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,148.47 / $4,699.85 / $5,251.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,246.42 / $3,443.26 / $4,751.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,463.55 / $5,776.35 / $7,876.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,463.55 / $5,776.35 / $7,089.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $5,251.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $3,323.97 / $5,386.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.65 / $2,619.78 / $4,154.96