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Tennessee rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.44 / $1,926.49 / $1,926.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.12 / $1,926.49 / $3,309.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.41 / $4,002.06 / $4,002.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,307.46 / $3,060.59 / $3,060.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $3,060.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,003.09 / $20,671.75 / $20,671.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,266.87 / $22,266.87 / $32,375.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.96 / $2,218.42 / $3,092.33