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Tennessee rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.34 / $226.70 / $226.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.34 / $227.72 / $389.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.46 / $392.46 / $392.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.77 / $470.95 / $470.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.70 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $338.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.11 / $2,725.44 / $2,790.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,474.60 / $3,474.60 / $3,924.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $261.06 / $393.34