Can I extend list in Python with prepend elements instead of append?

You can assign to a slice:

a[:0] = b

Demo:

>>> a = [1,2,3]
>>> b = [4,5,6]
>>> a[:0] = b
>>> a
[4, 5, 6, 1, 2, 3]

Essentially, list.extend() is an assignment to the list[len(list):] slice.

You can ‘insert’ another list at any position, just address the empty slice at that location:

>>> a = [1,2,3]
>>> b = [4,5,6]
>>> a[1:1] = b
>>> a
[1, 4, 5, 6, 2, 3]