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South Carolina 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
$2,684.09 / $2,684.09 / $2,684.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.40 / $2,684.09 / $4,465.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,999.92 / $5,999.92 / $7,220.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $3,669.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $3,323.97 / $3,323.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,684.09 / $3,997.57 / $9,575.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,766.41 / $4,766.41 / $4,766.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.81 / $2,966.60 / $3,825.05