go back

Tennessee rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.79 / $583.00 / $583.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.79 / $589.16 / $1,001.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.77 / $1,211.10 / $1,211.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.32 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $870.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.50 / $7,424.54 / $8,522.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,101.42 / $10,343.84 / $12,857.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $671.35 / $1,011.52