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Tennessee rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.84 / $1,927.92 / $1,927.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.84 / $1,927.92 / $3,312.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,651.38 / $4,005.05 / $4,450.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $3,600.52 / $3,600.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,060.44 / $3,600.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,451.93 / $21,186.55 / $22,238.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,846.16 / $23,846.16 / $37,259.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.05 / $2,220.08 / $3,045.41