go back

Tennessee rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.91 / $112.07 / $112.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.91 / $112.57 / $192.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.12 / $232.81 / $232.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.27 / $161.63 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $117.99 / $161.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.22 / $1,316.67 / $1,316.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.26 / $1,707.26 / $1,940.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.43 / $170.54 / $194.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $129.05 / $194.44