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Tennessee rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.13 / $266.25 / $266.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.13 / $267.44 / $516.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.16 / $553.10 / $553.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.50 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $452.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.07 / $3,241.88 / $3,892.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,227.08 / $4,328.51 / $4,609.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $306.58 / $461.94