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Texas 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
$1,970.16 / $1,970.16 / $2,127.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.16 / $2,323.63 / $3,940.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,499.93 / $4,499.93 / $4,499.93
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,660.00 / $25,033.69 / $26,421.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,469.96 / $28,469.96 / $35,433.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,599.38 / $4,327.35 / $5,562.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.96 / $4,139.93 / $5,241.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,640.01 / $3,323.97 / $5,241.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $2,426.50 / $4,358.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.81 / $2,859.85 / $3,574.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,716.85 / $3,443.26 / $4,499.93