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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
$2,218.58 / $2,859.85 / $3,186.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,179.12 / $9,696.33 / $11,479.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,108.06 / $4,316.03 / $4,462.80
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,420.27 / $3,227.02 / $4,222.00