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Tennessee rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.79 / $273.04 / $273.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.24 / $273.04 / $469.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.50 / $567.21 / $567.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.02 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $296.02 / $405.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.81 / $2,919.01 / $2,919.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,156.12 / $3,156.12 / $4,588.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.61 / $307.85 / $420.92