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Tennessee rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.06 / $127.51 / $127.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.61 / $127.51 / $219.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.37 / $264.89 / $264.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.46 / $166.52 / $166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $121.56 / $166.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.33 / $1,389.02 / $1,389.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.88 / $1,758.88 / $2,177.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.89 / $146.83 / $200.33