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Tennessee rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $467.74 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $602.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $630.96 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $724.44