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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.60 / $1,202.74 / $1,202.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.55 / $1,202.74 / $2,066.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.07 / $2,498.57 / $2,498.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,303.96 / $1,786.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.86 / $12,858.35 / $12,858.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,901.92 / $13,901.92 / $20,213.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.34 / $1,385.01 / $1,854.16