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Maryland 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
Professional
Modifier
Low / Median / High Price
$2,218.58 / $2,684.09 / $4,465.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,225.76 / $3,225.76 / $3,469.72
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 / $2,426.50 / $3,323.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,552.99 / $5,075.70 / $7,309.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.32 / $2,822.54 / $4,032.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,716.85 / $2,716.85 / $3,552.99