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Tennessee rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.76 / $342.35 / $342.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.76 / $375.27 / $588.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.81 / $711.19 / $711.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.40 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $589.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.30 / $4,115.68 / $4,214.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.98 / $5,246.98 / $6,586.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $394.23 / $603.27