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Tennessee rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $66.23 / $72.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $69.91 / $123.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.42 / $110.42 / $147.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.71 / $117.78 / $132.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.91 / $102.60 / $102.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $74.90 / $102.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.65 / $744.59 / $836.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.49 / $936.45 / $1,065.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $70.48 / $101.31