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Tennessee rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.99 / $667.84 / $667.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.99 / $670.83 / $1,295.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.44 / $1,387.35 / $1,387.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.99 / $963.22 / $963.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $703.15 / $963.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.95 / $8,261.60 / $9,722.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,112.74 / $10,112.74 / $11,561.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $769.04 / $1,158.71