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Tennessee rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.56 / $870.56 / $951.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.44 / $918.93 / $1,629.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.90 / $1,741.52 / $1,741.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.34 / $1,206.80 / $1,206.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $880.96 / $1,206.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,524.52 / $10,169.41 / $10,300.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,823.90 / $12,823.90 / $17,622.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.57 / $945.21 / $1,382.27