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Tennessee rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.00 / $1,128.71 / $1,128.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.30 / $1,128.71 / $1,939.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,953.97 / $1,953.97 / $1,953.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.27 / $2,344.76 / $2,344.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.44 / $1,486.28 / $1,486.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $1,486.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.77 / $12,494.15 / $15,064.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,222.86 / $15,222.86 / $17,839.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.50 / $1,299.76 / $1,793.03