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Tennessee rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.52 / $216.69 / $216.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.48 / $216.69 / $372.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.01 / $450.14 / $450.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.17 / $280.67 / $280.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $204.89 / $280.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.50 / $2,155.56 / $2,572.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,600.06 / $2,600.06 / $3,489.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.35 / $249.53 / $312.33