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Tennessee rates for HCPCS L6935

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,652.82 / $4,744.05 / $4,744.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,353.05 / $4,744.05 / $8,150.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,524.30 / $9,855.27 / $9,855.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,035.70 / $7,503.37 / $7,503.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $5,477.46 / $7,503.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,782.91 / $48,813.24 / $48,813.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,698.83 / $54,698.83 / $70,654.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,641.99 / $5,462.98 / $7,219.01