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Tennessee rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.21 / $1,346.10 / $1,346.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.21 / $1,375.90 / $2,405.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.23 / $2,796.37 / $2,796.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.86 / $2,479.82 / $2,479.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $1,810.27 / $2,479.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,761.22 / $16,444.91 / $19,678.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,490.28 / $23,030.06 / $28,806.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.39 / $1,550.09 / $2,388.64