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Tennessee rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.66 / $1,240.52 / $1,240.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.46 / $1,240.52 / $2,131.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.54 / $2,147.54 / $2,147.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.03 / $2,577.04 / $2,577.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.52 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $1,800.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,865.56 / $11,959.60 / $11,959.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,435.44 / $14,435.44 / $17,138.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.05 / $1,428.51 / $1,756.79