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Tennessee rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.89 / $113.07 / $113.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.89 / $122.03 / $216.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.50 / $234.89 / $234.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.50 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $225.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.97 / $1,446.87 / $1,485.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.30 / $1,670.30 / $2,609.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.32 / $172.06 / $195.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $130.21 / $196.18