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Tennessee rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.95 / $1,986.14 / $1,986.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.95 / $1,995.05 / $3,533.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.45 / $4,126.00 / $4,126.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.55 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $3,670.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,850.16 / $24,492.50 / $29,034.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30,123.14 / $30,846.11 / $34,383.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.75 / $2,239.40 / $3,445.23