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Tennessee rates for HCPCS L2622

Addition To Lower Extremity Pelvic Control Hip Joint Adjustable Flexion Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.43 / $155.43 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.55 / $166.98 / $290.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.84 / $310.93 / $310.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.67 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $215.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.50 / $1,848.60 / $2,188.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,819.48 / $2,887.16 / $2,887.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $170.82 / $247.27