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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
$302.00 / $302.00 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,370.32 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $467.74 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $354.81 / $537.03