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Tennessee rates for HCPCS L5530

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.87 / $898.14 / $898.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.87 / $902.17 / $1,542.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.18 / $1,865.79 / $1,865.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.15 / $1,295.39 / $1,295.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $945.63 / $1,295.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,485.16 / $10,873.70 / $13,129.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,267.87 / $13,390.97 / $15,548.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.50 / $1,034.25 / $1,558.29