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Tennessee rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.17 / $299.94 / $299.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.17 / $303.11 / $515.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.49 / $623.08 / $623.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.06 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $315.80 / $432.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.69 / $3,605.80 / $3,692.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,596.99 / $4,596.99 / $5,284.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.12 / $456.41 / $519.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $345.39 / $520.39