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Tennessee rates for HCPCS L8031

Breast Prosthes, Silicone Or Equal, With Integral Adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.18 / $171.48 / $171.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.18 / $171.48 / $294.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.82 / $356.22 / $356.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $277.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.44 / $1,976.32 / $2,177.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.21 / $2,200.21 / $2,911.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.63 / $197.46 / $314.85