go back

Tennessee rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.25 / $1,721.35 / $1,721.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.25 / $1,721.35 / $2,957.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,367.30 / $3,575.92 / $3,973.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,214.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,653.52 / $18,916.50 / $19,856.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,291.26 / $21,291.26 / $33,267.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.47 / $1,982.21 / $2,719.10