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North Dakota 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
$4,159.28 / $4,159.28 / $4,159.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,159.28 / $4,398.42 / $4,398.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,345.27 / $6,319.99 / $6,477.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,087.75 / $6,148.63 / $7,731.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,394.73 / $4,406.08 / $25,033.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,183.15 / $3,367.46 / $4,555.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.79 / $3,560.51 / $5,907.63