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Tennessee rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.24 / $1,376.71 / $1,376.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.24 / $1,491.67 / $2,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.32 / $2,859.97 / $2,859.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.62 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $2,476.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,385.71 / $16,803.40 / $18,460.07
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,260.05 / $19,260.05 / $25,997.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $1,585.34 / $2,388.62