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Tennessee rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.91 / $414.89 / $414.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.91 / $416.76 / $712.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.25 / $718.25 / $957.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.59 / $861.89 / $861.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.90 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $694.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.81 / $4,987.84 / $5,149.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,358.86 / $6,358.86 / $7,182.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $477.77 / $731.11