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Minnesota 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
$4,398.42 / $4,398.42 / $4,398.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,467.91 / $4,398.42 / $4,398.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,498.38 / $5,251.23 / $7,312.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,200.97 / $4,988.67 / $5,251.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $16,202.09 / $44,999.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,087.75 / $6,453.02 / $7,731.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,618.99 / $15,545.11 / $35,433.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,087.75 / $6,087.75 / $6,264.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,394.73 / $5,251.23 / $25,033.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.65 / $2,510.63 / $5,273.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.65 / $3,382.48 / $8,076.39