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Tennessee rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.63 / $1,022.63 / $1,117.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.95 / $1,022.63 / $1,914.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.29 / $2,045.72 / $2,045.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.93 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $860.97 / $1,179.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,639.14 / $10,013.70 / $10,066.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,532.82 / $12,532.82 / $18,195.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.99 / $1,056.84 / $1,418.45