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Tennessee rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.55 / $1,532.01 / $1,532.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.55 / $1,532.01 / $2,631.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.91 / $3,182.60 / $3,536.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.13 / $2,861.13 / $2,861.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,431.96 / $2,861.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,921.61 / $16,835.74 / $17,671.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,949.15 / $18,949.15 / $29,608.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.11 / $1,764.18 / $2,420.00