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Missouri 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
$2,570.40 / $3,801.89 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,884.03 / $6,760.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $19,952.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,467.37 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $5,754.40
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,570.88 / $25,118.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,818.38 / $28,183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,570.88 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,754.23 / $4,073.80