go back

Tennessee rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.09 / $372.09 / $406.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.04 / $388.00 / $696.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.77 / $744.34 / $744.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.15 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $456.99 / $626.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.36 / $4,031.07 / $4,788.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.82 / $5,322.56 / $6,686.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.07 / $395.38 / $568.20