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Tennessee rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.59 / $1,672.76 / $1,672.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.59 / $1,678.50 / $3,001.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.46 / $3,474.97 / $3,474.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,946.92 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $2,293.31 / $3,141.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,361.82 / $18,963.50 / $23,067.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,310.48 / $23,310.48 / $29,065.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.17 / $1,926.25 / $2,737.79