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Tennessee rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.74 / $99.65 / $99.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.99 / $99.65 / $171.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.05 / $184.01 / $207.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.45 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $128.16 / $175.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.51 / $1,083.05 / $1,083.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.72 / $1,269.72 / $1,654.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $114.76 / $156.72