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North Carolina 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
$4,465.68 / $4,465.68 / $4,465.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,599.06 / $4,465.68 / $4,465.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,900.01 / $10,644.20 / $11,241.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,177.14 / $4,499.93 / $4,766.41
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 / $3,323.97 / $6,087.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,295.85 / $4,465.68 / $5,999.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,766.41 / $4,766.41 / $4,766.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,669.30 / $5,669.30 / $5,669.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.33 / $2,993.29 / $4,499.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,374.87 / $26,421.83 / $26,421.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,469.96 / $35,433.15 / $35,433.15