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Tennessee rates for HCPCS L6930

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,424.62 / $3,491.77 / $3,491.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,424.62 / $3,507.44 / $6,041.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,802.08 / $7,253.78 / $7,253.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,308.25 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,599.50 / $6,300.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,880.68 / $42,111.30 / $42,111.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50,947.89 / $50,947.89 / $60,448.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,680.62 / $4,020.92 / $6,058.30