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Tennessee rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.94 / $132.49 / $132.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.94 / $133.90 / $227.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.21 / $275.24 / $275.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.47 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $197.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.64 / $1,592.80 / $1,631.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.64 / $2,030.64 / $3,058.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $152.57 / $229.88