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West Virginia 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
$2,488.90 / $2,488.90 / $2,488.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,467.91 / $2,488.90 / $2,684.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,899.95 / $6,852.20 / $8,882.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,299.21 / $4,199.93 / $7,199.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $7,031.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $3,323.97 / $25,782.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.21 / $3,427.37 / $5,040.25