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Tennessee rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.68 / $180.15 / $180.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.68 / $181.39 / $333.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.76 / $374.25 / $374.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.46 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $274.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.97 / $2,227.59 / $2,618.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.43 / $2,646.43 / $3,317.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.30 / $207.45 / $311.43