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Oregon 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
Professional
Modifier
Low / Median / High Price
$2,561.57 / $3,187.88 / $16,049.10
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,669.07 / $9,531.81 / $12,431.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,187.88 / $4,558.67 / $5,251.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,967.50 / $5,031.87 / $5,503.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,118.68 / $5,241.53 / $6,288.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,187.88 / $4,589.67 / $5,503.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $4,589.67 / $5,765.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.96 / $8,716.48 / $18,388.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,507.72 / $5,765.68 / $5,765.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.89 / $2,244.96 / $4,283.10