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Tennessee rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.22 / $307.13 / $307.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.22 / $308.51 / $527.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.38 / $638.02 / $638.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.94 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $334.77 / $458.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.10 / $3,692.24 / $3,780.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,707.20 / $4,707.20 / $5,316.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.78 / $353.67 / $532.87