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Louisiana 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
$2,432.05 / $2,581.71 / $3,666.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.05 / $2,581.71 / $3,741.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,916.73 / $6,691.14 / $9,405.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.14 / $3,194.96 / $3,194.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $3,323.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.65 / $2,323.63 / $3,574.81