go back

Tennessee rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.51 / $125.51 / $137.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.19 / $137.13 / $234.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.22 / $251.07 / $251.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.12 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $174.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.61 / $1,530.87 / $1,766.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.10 / $1,897.56 / $2,548.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $136.27 / $199.66