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Tennessee rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.91 / $315.99 / $315.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.91 / $315.99 / $542.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.57 / $656.42 / $656.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.22 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $412.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.63 / $3,399.27 / $4,042.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.20 / $4,901.09 / $4,901.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.58 / $363.88 / $487.34