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Tennessee rates for HCPCS L5321

Above knee (AK), molded socket, open end, SACH foot, endoskeletal system, single axis knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,033.44 / $2,073.31 / $2,073.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.78 / $2,073.31 / $3,561.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,589.22 / $3,589.22 / $3,589.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,851.33 / $4,307.07 / $4,307.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.66 / $2,481.10 / $2,481.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $1,811.20 / $2,481.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,477.55 / $20,983.29 / $24,984.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,681.22 / $27,321.57 / $29,586.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.35 / $2,600.65 / $3,032.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.67 / $2,387.50 / $3,032.69