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Tennessee rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.67 / $413.63 / $413.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.67 / $418.01 / $777.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.06 / $716.06 / $954.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.85 / $859.28 / $859.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.34 / $596.58 / $596.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $596.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.71 / $5,050.38 / $6,046.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,402.83 / $6,556.50 / $7,495.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.99 / $629.41 / $733.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.54 / $476.31 / $717.65