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Tennessee rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.45 / $624.46 / $624.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.45 / $627.26 / $1,072.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.04 / $1,081.04 / $1,081.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.80 / $1,297.25 / $1,297.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.48 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $876.09 / $1,200.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,428.89 / $7,578.14 / $7,687.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,570.81 / $9,570.81 / $10,810.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.40 / $719.09 / $1,083.46