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Tennessee rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.35 / $1,630.71 / $1,630.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.13 / $1,630.71 / $2,801.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,242.64 / $3,387.65 / $3,387.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.19 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $2,264.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,081.47 / $17,433.41 / $17,433.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,848.34 / $18,848.34 / $27,404.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.89 / $1,877.84 / $2,513.88