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Tennessee rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.24 / $1,660.16 / $1,660.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.35 / $1,660.16 / $2,852.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.15 / $3,448.80 / $3,448.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $2,381.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,173.20 / $17,752.32 / $17,752.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,227.03 / $19,227.03 / $27,899.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.50 / $1,914.86 / $2,618.15