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Tennessee rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.67 / $1,806.41 / $1,806.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.67 / $1,825.52 / $3,103.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,484.28 / $3,752.62 / $3,752.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.80 / $3,006.81 / $3,006.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,194.96 / $3,006.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,622.31 / $22,146.98 / $26,407.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,149.58 / $27,801.18 / $38,111.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.78 / $2,080.16 / $3,134.16