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Tennessee rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.55 / $294.20 / $294.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.55 / $294.20 / $505.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.62 / $611.20 / $611.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.40 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $436.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.80 / $3,169.20 / $3,169.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,390.18 / $3,390.18 / $5,043.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.86 / $338.80 / $463.61