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Tennessee rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $50.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $51.29 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $41.69 / $58.88