go back

Tennessee rates for HCPCS L5622

Addition To Lower Extremity Test Socket Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.89 / $188.51 / $188.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.89 / $206.64 / $323.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.33 / $326.33 / $326.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.25 / $391.61 / $391.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.58 / $274.54 / $274.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $274.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.41 / $2,359.33 / $2,359.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,871.79 / $2,871.79 / $4,351.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $217.07 / $327.07