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Tennessee rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.53 / $1,261.79 / $1,261.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.53 / $1,383.32 / $2,167.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.28 / $2,621.23 / $2,621.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.83 / $1,819.89 / $1,819.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,328.52 / $1,819.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,824.97 / $15,534.23 / $16,880.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,222.38 / $19,222.38 / $29,124.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,453.01 / $2,189.23