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Tennessee rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.05 / $2,047.43 / $2,047.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.71 / $2,047.43 / $3,517.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,815.73 / $4,253.31 / $4,253.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $2,191.15 / $3,001.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,384.22 / $21,089.02 / $22,464.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,129.32 / $26,129.32 / $30,206.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.80 / $2,357.69 / $3,043.56