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Tennessee rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.30 / $211.30 / $230.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.85 / $211.30 / $395.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.83 / $422.70 / $422.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.42 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $291.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.86 / $2,011.56 / $2,362.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,530.79 / $3,615.53 / $3,615.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.04 / $184.46 / $224.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.10 / $218.38 / $281.80