go back

Tennessee rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.13 / $158.16 / $158.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.13 / $159.85 / $271.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.53 / $328.59 / $328.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.16 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $200.49 / $274.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.99 / $1,955.07 / $2,312.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,695.59 / $2,760.30 / $3,209.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.43 / $182.14 / $274.44