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Tennessee rates for HCPCS L8002

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.09 / $86.76 / $86.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $86.76 / $149.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.32 / $180.24 / $180.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.90 / $120.62 / $120.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $88.05 / $120.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.36 / $927.48 / $927.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.77 / $1,002.77 / $1,457.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.61 / $99.91 / $149.53