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Oklahoma 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
$1,930.75 / $1,930.75 / $1,930.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.75 / $2,206.57 / $2,859.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,940.31 / $3,940.31 / $3,940.31
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 / $3,323.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,206.57 / $3,295.85 / $25,033.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.65 / $2,966.59 / $4,450.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.65 / $2,151.26 / $3,574.81