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Tennessee rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.25 / $1,251.31 / $1,251.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.25 / $1,323.77 / $2,149.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.88 / $2,599.46 / $2,599.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.12 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,743.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,689.41 / $14,630.94 / $15,327.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,888.66 / $16,888.66 / $22,814.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.63 / $1,440.94 / $2,096.83