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Tennessee rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.23 / $707.84 / $707.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.23 / $709.40 / $1,289.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.46 / $1,470.46 / $1,470.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.36 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $1,018.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,707.40 / $8,447.07 / $8,561.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,758.78 / $10,758.78 / $12,225.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.40 / $815.11 / $1,225.32