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Tennessee rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.77 / $464.77 / $507.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.16 / $507.80 / $869.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.50 / $929.75 / $929.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.70 / $751.98 / $751.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $751.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,856.36 / $5,145.80 / $6,145.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,210.34 / $6,210.34 / $9,281.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.83 / $479.78 / $583.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.58 / $499.30 / $710.97