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Tennessee rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.16 / $1,224.71 / $1,224.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.16 / $1,224.71 / $2,158.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.28 / $2,544.21 / $2,544.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,283.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,515.30 / $14,087.74 / $16,970.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,640.13 / $19,087.47 / $20,945.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.20 / $1,410.31 / $2,014.15