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Rhode Island 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
$2,041.74 / $2,951.21 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,471.29 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,365.16 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,548.13 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $4,265.80