go back

Tennessee rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.20 / $290.79 / $290.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.20 / $296.27 / $499.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.92 / $604.09 / $604.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.79 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $419.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.05 / $3,569.44 / $4,251.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,296.24 / $4,399.34 / $5,106.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $334.86 / $504.53