go back

Tennessee rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.82 / $295.82 / $323.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.22 / $301.30 / $553.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.77 / $591.78 / $591.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.77 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $373.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.39 / $2,938.67 / $3,539.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.99 / $3,688.99 / $4,192.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.83 / $276.36 / $336.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.85 / $312.16 / $420.05