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Tennessee rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $57.75 / $72.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $152.29 / $152.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.14 / $194.36 / $202.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00