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Tennessee rates for HCPCS L6621

Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device

Facilitymedian $1,950 · 10th–90th $1,175–$13,1830%20%10th90th$1,950Professionalmedian $1,318 · 10th–90th $1,175–$2,3440%20%10th90th$1,318$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,318.26 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,778.28
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $20,417.38 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,862.09 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,348.96 / $1,862.09