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Tennessee rates for HCPCS L5637

Addition To Lower Extremity Below Knee Total Contact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.33 / $150.22 / $150.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.33 / $165.02 / $258.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.06 / $260.06 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $312.07 / $312.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.34 / $232.98 / $232.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $232.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.59 / $1,951.09 / $2,187.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.42 / $2,288.42 / $3,317.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.32 / $169.37 / $260.57