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Tennessee rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $11.15 / $11.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.25 / $19.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $23.16 / $23.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $16.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.23 / $134.22 / $136.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.27 / $161.27 / $216.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $12.83 / $19.78