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Tennessee rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.26 / $1,980.35 / $1,980.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.87 / $1,980.35 / $3,402.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,723.49 / $4,113.96 / $4,113.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $2,941.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,170.94 / $21,171.57 / $21,171.57
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,889.87 / $22,889.87 / $33,281.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.30 / $2,280.46 / $3,052.92