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Vermont 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
$2,621.96 / $2,621.96 / $3,025.34
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 / $3,423.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $3,323.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $3,323.97 / $3,423.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.35 / $3,428.71 / $6,205.20