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Tennessee rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.88 / $233.37 / $233.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.88 / $236.80 / $452.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.94 / $484.79 / $484.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.94 / $393.88 / $393.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $393.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.97 / $2,807.91 / $3,141.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,174.24 / $3,174.24 / $4,080.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.16 / $263.12 / $404.80