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Tennessee rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.90 / $1,388.90 / $1,532.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.30 / $1,890.97 / $1,890.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.33 / $7,992.50 / $8,038.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,207.25 / $10,207.25 / $14,231.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.37 / $771.56 / $867.16