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Mississippi 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
$3,362.39 / $3,362.39 / $5,253.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.05 / $3,666.79 / $5,253.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,780.57 / $4,780.57 / $4,780.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,780.57 / $4,780.57 / $4,780.57
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.65 / $2,993.29 / $4,739.38