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Tennessee rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.81 / $83.42 / $83.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $91.64 / $158.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.41 / $144.41 / $144.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.72 / $173.30 / $173.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.92 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $126.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.10 / $1,050.89 / $1,145.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,232.30 / $1,925.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $96.06 / $144.72