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Tennessee rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.83 / $1,430.34 / $1,430.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.42 / $1,430.34 / $2,457.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.14 / $2,476.14 / $2,476.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.07 / $2,971.37 / $2,971.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.08 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,257.05 / $1,721.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,158.62 / $14,785.52 / $17,378.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,561.62 / $17,575.11 / $20,668.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.06 / $1,647.10 / $2,156.88