go back

Tennessee rates for HCPCS L2640

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.33 / $170.33 / $186.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.17 / $190.99 / $318.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.57 / $340.73 / $340.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.38 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $172.70 / $236.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.19 / $2,077.64 / $2,397.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,863.70 / $3,956.45 / $3,956.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $184.94 / $270.97