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Tennessee rates for HCPCS L3255

Nonstandard size or length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $30.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.97 / $65.97 / $65.97