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Tennessee rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.78 / $13.03 / $13.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $13.03 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $22.55 / $25.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.93 / $27.06 / $27.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $16.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $125.14 / $147.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.38 / $149.38 / $202.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $14.88 / $17.95