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Tennessee rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.18 / $54.18 / $59.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $55.18 / $101.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $108.38 / $108.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.91 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $84.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.34 / $593.85 / $618.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.95 / $667.95 / $873.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $58.21 / $83.92