go back

Tennessee rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.47 / $757.03 / $757.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.47 / $760.43 / $1,401.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.11 / $1,572.66 / $1,572.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.05 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,003.93 / $1,375.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,990.01 / $9,328.83 / $10,029.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,136.07 / $10,136.07 / $13,105.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.16 / $871.76 / $1,313.47