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Tennessee rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.81 / $302.63 / $302.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.81 / $303.99 / $546.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.19 / $628.69 / $628.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.39 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $405.70 / $555.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.08 / $3,703.71 / $3,725.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,638.32 / $4,638.32 / $5,239.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $348.49 / $525.07