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Tennessee 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
$2,549.39 / $2,599.38 / $2,599.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.96 / $2,599.38 / $4,465.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,574.81 / $5,399.93 / $5,399.93
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
$8,822.07 / $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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.81 / $2,993.29 / $3,574.81