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Massachusetts 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
$2,238.72 / $2,238.72 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $5,011.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,011.87 / $26,302.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,890.45 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,466.84 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,311.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $6,760.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,011.87 / $26,302.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,981.07 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3,388.44 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,467.37 / $4,466.84