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Tennessee rates for HCPCS L5230

Above Knee For Proximal Femoral Focal Deficiency Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.08 / $1,978.12 / $1,978.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.08 / $1,987.00 / $3,398.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,720.42 / $4,109.33 / $4,109.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.66 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,082.73 / $2,853.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,811.46 / $24,371.76 / $28,917.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30,317.74 / $30,317.74 / $34,244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.59 / $2,277.89 / $3,432.08