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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
$295.12 / $295.12 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $549.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,248.07 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $457.09 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $346.74 / $524.81