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Tennessee rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.06 / $941.16 / $941.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.06 / $945.38 / $1,826.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.29 / $1,629.29 / $1,846.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.33 / $1,955.15 / $1,955.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.22 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,167.99 / $1,599.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.83 / $11,580.89 / $13,749.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,894.08 / $13,894.08 / $16,292.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,083.78 / $1,632.93